Provider Demographics
NPI:1427432111
Name:COWEN, MARCIA NICOLE (CNM, FNP)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:NICOLE
Last Name:COWEN
Suffix:
Gender:F
Credentials:CNM, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2656
Mailing Address - Country:US
Mailing Address - Phone:919-933-3301
Mailing Address - Fax:
Practice Address - Street 1:9210 GOLFCOURSE RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114
Practice Address - Country:US
Practice Address - Phone:505-298-2505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM02994363LF0000X
NC5014460363LF0000X
NM699367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily