Most Relevant Information
Provider Data
NPI Number: | 1003546839 |
Provider Name: | TRACY J COWELL DNP |
Entity Type: | Individual |
Taxonomy Code: | 363LA2200X |
Specialty: | Nurse Practitioner |
License Number: | 9138 |
Most Important Dates
Enumeration Date: | 06/14/2022 |
Last Updated: | 05/03/2024 |
Provider Practice Location
270 MAIN ST N STE 300
STILLWATER
MN
550826788
Practice Location Phone/Fax
Phone: | 6513421039 |
Fax: | 6513421428 |
Provider Mailing Location
270 MAIN ST N STE 300
STILLWATER
MN
550826788
Provider Mailing Phone/Fax
Phone: | 6513421039 |
Fax: | 6513421428 |