Individual
MRS. ANGELA MARIE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1805 WILLIAMSON CT, BRENTWOOD, TN 37027-8164
(615) 331-5536
Mailing address
1805 WILLIAMSON CT, BRENTWOOD, TN 37027-8164
(615) 331-5536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1689
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3665346
PTAN
TN
Enumeration date
11/21/2008
Last updated
02/11/2010
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