Individual
MRS. MELISSA ANN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1730 HAINES AVE, RAPID CITY, SD 57701-0615
(605) 791-7728
(308) 633-1327
Mailing address
1730 HAINES AVE, RAPID CITY, SD 57701-0615
(605) 791-7728
(308) 633-1327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
114676
NE
363LF0000X
Family Nurse Practitioner
52066
WY
363LF0000X
Family Nurse Practitioner
APRN-2165
HI
363LF0000X
Family Nurse Practitioner
Primary
CP002623
SD
363LF0000X
Family Nurse Practitioner
R892549
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04652841
—
MS
Enumeration date
03/15/2010
Last updated
04/27/2023
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