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Individual
MS. MIA M OWENS
Active
Individual
MS. MIA M OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
717745
NY
164W00000X
Licensed Practical Nurse
10 290984
NY
363LF0000X
Family Nurse Practitioner
Primary
354671
NY
Other
Enumeration date
07/12/2012
Last updated
08/29/2024
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