Individual
MISS AMANDA EMILY OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4309
Mailing address
805 W 11TH ST, OWENSBORO, KY 42301-2916
(270) 704-3791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1177447
KY
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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