Individual
JANET L OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
367 E MAIN ST, WATERLOO, NY 13165-1643
(315) 539-0580
(315) 539-0583
Mailing address
PO BOX 554, SENECA FALLS, NY 13148-0554
(315) 568-2541
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
300080
NY
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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