Individual
MRS. MARIAH KELLY OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
901 W WARREN AVE, LONGWOOD, FL 32750-4003
(407) 733-6759
Mailing address
901 W WARREN AVE, LONGWOOD, FL 32750-4003
(407) 733-6759
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11037760
FL
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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