Individual
STACY OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
PO BOX 205, LA VERKIN, UT 84745-0205
(435) 619-3058
Mailing address
PO BOX 205, LA VERKIN, UT 84745-0205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6979518-4405
UT
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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