Doctor Name: | ANN M OWENS |
NPI Number: | 1013935600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PAC0330 |
Business Practice Address: | 315 E Caledonia Ave Hillsboro, ND - 58045 |
Business Phone Number: | 7014365311 |
Business Fax Number: | 7014364514 |
Mailing Address: | 315 E Caledonia Ave, HILLSBORO |
State: | ND |
Postal Code: | 580454701 |
Phone Number: | 7014365311 |
Fax Number: | 7014364514 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 10/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PAC0330 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |