Doctor Name: | MRS. DONNA MARIE OWEN |
NPI Number: | 1104005719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | RN 145148 |
Business Practice Address: | 118 Dowell Ave 503 Doan Hall Bellefontaine, OH - 433112305 |
Business Phone Number: | 9375935437 |
Business Fax Number: | 9375930110 |
Mailing Address: | 118 Dowell Ave, BELLEFONTAINE |
State: | OH |
Postal Code: | 433112305 |
Phone Number: | 9375935437 |
Fax Number: | 9375930110 |
NPI Enumeration Date: | 10/31/2007 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN 145148 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |