Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAITLYN MARY MCGOWAN, AGPCNP-BC
ActiveKAITLYN MARY MCGOWAN, AGPCNP-BC is a Gerontological Nurse Practitioner healthcare provider located in NEWBERG, Oregon. NPI 1619513769 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · NEWBERG, OR
Registration Details
- NPI Number
- 1619513769
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 25, 2019 (6.6783190802383 yrs)
- Last Updated
- Oct 27, 2023
- Licenses
-
95013322 (CA)202008069NP-PP (OR)202008069NP-PP (OR)
Practice Information
- Address
-
1000 N PROVIDENCE DR STE 120NEWBERG, OR, 971327582Browse OR providers · Browse ZIP 97132
- Phone
- 5035375900
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.