Individual
MRS. LAURA BORDERS OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
(704) 863-5665
(704) 863-5848
Mailing address
4400 GOLF ACRES DRIVE SUITE A, CHARLOTTE, NC 28208-5906
(704) 512-6428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
89633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089633
RN LICIENCE
NC
01
—
42275
ANNA LICENCE
—
05
—
8050667
—
NC
05
—
NAN706
—
SC
Enumeration date
06/30/2006
Last updated
10/05/2017
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