MARENNA ROSE COWAN FNP NPI 1063078806

NPI Information

NPI: 1063078806
Provider Name: MARENNA ROSE COWAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
660 BAKER ST STE A102
COSTA MESA, CA
ZIP 92626
Phone: (714) 668-2505
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Marenna Rose Cowan, FNP is a family nurse practitioner in Costa Mesa, CA with 6 years of experience. Marenna Rose Cowan, FNP NPI is 1063078806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

660 BAKER ST STE A102
COSTA MESA, CA
ZIP 92626-407
Phone: (714) 668-2505
Fax: (714) 668-2515

The NPI 1063078806 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2019 and was last updated on 8/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		95079580	CALIFORNIA	No
2	363L00000X	Nurse Practitioner		95009121	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	95009121	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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