Samantha Nissi Cowan

NPI #1487389433 in Burns Flat, Oklahoma

Provider Information

NPI Number: 1487389433
Entity Type: Individual
Name: Samantha Nissi Cowan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 22, 2022
Last Updated: Jul 22, 2022

Practice Location

Address: 420 SOONER DR
City: Burns Flat
State: Oklahoma
ZIP Code: 73624-0569
Phone: (580) 562-4882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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