Individual
NANCY ANN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
5101 SW 120TH CT, OKLAHOMA CITY, OK 73173-8875
(405) 802-9102
Mailing address
5101 SW 120TH CT, OKLAHOMA CITY, OK 73173-8875
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
99953
OK
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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