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Individual

ALISE OTT OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC, APRN

Contact information

Practice address
100 HAWKINS DR STE 213, IOWA CITY, IA 52242-1032
(877) 686-0031
(319) 356-3949
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(877) 686-0031
(319) 356-3949

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A174356
IA
363LF0000X
Family Nurse Practitioner
1467
SC
363LF0000X
Family Nurse Practitioner
766456
TX
363LF0000X
Family Nurse Practitioner
AP60400441
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
A174356
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
576007863094
BCBS OF SC
SC
05
NP0548
SC
Enumeration date
08/12/2006
Last updated
05/02/2024
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