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Individual

MS. ANDREA KIRSTEN OWES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
5 REGENT ST STE 518, LIVINGSTON, NJ 07039-1682
(973) 994-1011
Mailing address
165A STUYVESANT AVE APT 1, BROOKLYN, NY 11221-8467
(954) 496-3857

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00944000
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F402335
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05240428
NY
05
87-4725132
NJ
Enumeration date
02/10/2018
Last updated
03/18/2023
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