Provider Demographics
NPI:1528932332
Name:MCGOWAN, KRISTIN (RN)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:ASCIONE-MCGOWAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:27 PRENTISS DR
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:NY
Mailing Address - Zip Code:12533-6014
Mailing Address - Country:US
Mailing Address - Phone:845-857-5978
Mailing Address - Fax:
Practice Address - Street 1:27 PRENTISS DR
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:NY
Practice Address - Zip Code:12533-6014
Practice Address - Country:US
Practice Address - Phone:845-857-5978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY618368-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse