Individual
KATIE A OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 580-2001
(208) 580-9993
Mailing address
815 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 580-2001
(208) 580-9993
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
64720
ID
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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