Individual
MRS. SHERRLYN HARRIS OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-1411
Mailing address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
115255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051003
—
NC
Enumeration date
12/06/2005
Last updated
10/21/2021
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