Provider Demographics
NPI:1942008149
Name:MCGOWAN, ADRIAN RENEE
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:RENEE
Last Name:MCGOWAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 KLING ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-2251
Mailing Address - Country:US
Mailing Address - Phone:330-671-8239
Mailing Address - Fax:
Practice Address - Street 1:905 KLING ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-2251
Practice Address - Country:US
Practice Address - Phone:330-671-8239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant