Individual
LAURA LEE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 NE 12TH STREET PL, ANKENY, IA 50021-1682
(515) 480-8765
Mailing address
214 NE 12TH STREET PL, ANKENY, IA 50021-1682
(515) 480-8765
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G165354
IA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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