Individual
MR. MICHAEL THAD OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2309 E 15TH ST, PANAMA CITY, FL 32405-6345
(850) 747-5272
Mailing address
403 E 11TH ST, PANAMA CITY BEACH, FL 32401-3409
(850) 747-5599
(850) 872-4131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11003910
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11003910
FL
Other
Enumeration date
09/04/2019
Last updated
06/15/2023
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