Individual
DEREK LAWRENCE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1801 COLORADO AVE STE 140, TURLOCK, CA 95382-2711
(209) 216-3470
(209) 216-3475
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
516784
FL
163W00000X
Registered Nurse
650398
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024184265
VA
367500000X
Certified Registered Nurse Anesthetist
260373
AZ
367500000X
Certified Registered Nurse Anesthetist
3897
CA
367500000X
Certified Registered Nurse Anesthetist
9197186
FL
Other
Enumeration date
03/02/2010
Last updated
09/01/2022
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