Individual provider · Type 1 NPI
Maxine McGowan, MSN, PhD, FNP-C
Primary Care Nurse Practitioner · Rex, GA
NPI number
1407907371
Active
Practice location
3866 Augustine Pl
Rex, GA 30273-5822
Fax (770) 507-2352
Mailing address
6571 Yarbrough Dr
Fairburn, GA 30213-4649
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 26NR07760600 (NJ) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | RN201165 (GA) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
Other primary care nurse practitioner providers in Rex
About NPI 1407907371
Maxine McGowan, MSN, PhD, FNP-C's National Provider Identifier is 1407907371, issued on Jan 16, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Rex, GA. The record was last updated on Jul 8, 2013.