Individual
CASEY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
70 PHILLIPS ST APT 6, BOSTON, MA 02114-3446
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2341034
MA
Other
Enumeration date
01/11/2020
Last updated
08/21/2020
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