Individual
MRS. KATHERINE MARIA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7 CHENOWETH DR, BRIDGEPORT, WV 26330-1887
(304) 842-3318
Mailing address
635 PENNSYLVANIA AVE, BRIDGEPORT, WV 26330-1234
(304) 672-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
88894
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88894
WVU STATE BOARD OF NURSING
WV
Enumeration date
01/09/2019
Last updated
01/09/2019
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