Provider Demographics
NPI:1366610156
Name:COWAN, NENA R (APRN, MSN)
Entity type:Individual
Prefix:
First Name:NENA
Middle Name:R
Last Name:COWAN
Suffix:
Gender:F
Credentials:APRN, MSN
Other - Prefix:
Other - First Name:NENA
Other - Middle Name:
Other - Last Name:NOKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:415-520-0904
Practice Address - Street 1:2410 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2681
Practice Address - Country:US
Practice Address - Phone:415-529-4050
Practice Address - Fax:415-291-0489
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9398291363L00000X
KY3005369363LF0000X
CA95002259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100074820Medicaid
KYP01061998OtherRR MEDICARE
KY50036060OtherPASSPORT
KYK026470Medicare PIN