Individual provider · Type 1 NPI

Shannon McGowan

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1083296438 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP023627 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1083296438

Shannon McGowan's National Provider Identifier is 1083296438, issued on Apr 26, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 26, 2021.