Doctor Name: | NATHANIEL SCOTT OWENS |
NPI Number: | 1275923690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-C |
License Number: | 0024172265 |
Business Practice Address: | 3452 Anderson Hwy Suite D Powhatan, VA - 231395845 |
Business Phone Number: | 8042856050 |
Business Fax Number: | 8045982481 |
Mailing Address: | 3401 Brook Rd, RICHMOND |
State: | VA |
Postal Code: | 232274514 |
Phone Number: | 8049556521 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2015 |
NPI Last Update Date: | 01/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024172265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |