Individual
AILEEN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2497
(888) 369-2427
Mailing address
1141 MOREFIELD RD, PHILADELPHIA, PA 19115-2522
(215) 913-1652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP022836
PA
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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