Owens, Nancy L

Owens, Nancy L is an individual health care provider with primary practice located at 1091 S Beacon Blvd , Grand Haven MI 49417-2607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Owens, Nancy L can be contacted via phone (616) 604-0096.

Contact Information

Primary practice address
1091 S Beacon Blvd Grand Haven MI 49417-2607
Fax: (616) 604-0095
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704097658 Michigan

Profile Details

NPI number 1396731030
LBN Legal business name Owens, Nancy L
Credentials RN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396731030 NPPES
Michigan MEDICAID 4682052-10
Michigan Other NO097658

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