Individual
HEATHER OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(864) 288-8280
Mailing address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317
(815) 908-0033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24159
SC
Other
Enumeration date
08/21/2020
Last updated
12/27/2020
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