Provider Demographics
NPI:1063691657
Name:MCGOWAN, KAREN SORIO (ANP-C)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SORIO
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:SORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-C
Mailing Address - Street 1:3400 WAKE FOREST RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7317
Mailing Address - Country:US
Mailing Address - Phone:919-862-5500
Mailing Address - Fax:919-862-5503
Practice Address - Street 1:3400 WAKE FOREST RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7317
Practice Address - Country:US
Practice Address - Phone:919-862-5500
Practice Address - Fax:919-862-5503
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC228554282N00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No282N00000XHospitalsGeneral Acute Care Hospital