Doctor Name: | JANET L OWEN |
NPI Number: | 1013023308 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 300080 |
Business Practice Address: | 367 E Main St Waterloo, NY - 131651643 |
Business Phone Number: | 3155390580 |
Business Fax Number: | 3155390583 |
Mailing Address: | Po Box 554, SENECA FALLS |
State: | NY |
Postal Code: | 131480554 |
Phone Number: | 3155682541 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 300080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |