Doctor Name: | LESA ELLEN OWENS |
NPI Number: | 1538180823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP |
License Number: | RN-65433 |
Business Practice Address: | 4102 Pinion Dr Usaf Academy, CO - 808402502 |
Business Phone Number: | 7193335777 |
Business Fax Number: | |
Mailing Address: | 4845 Bluestem Dr, COLORADO SPRINGS |
State: | CO |
Postal Code: | 809171349 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN-65433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |