Provider Demographics
NPI:1447477336
Name:COWEN, ELAINE RUTH (APN)
Entity type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:RUTH
Last Name:COWEN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:RUTH
Other - Last Name:COWEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:282 CINNABAR LN
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5717
Mailing Address - Country:US
Mailing Address - Phone:215-369-5007
Mailing Address - Fax:
Practice Address - Street 1:314 E STATE ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08608-1810
Practice Address - Country:US
Practice Address - Phone:609-396-4258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC0923300364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent