Individual
MR. JOSEPH SAMUEL OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
11615 STATE AVE, BRAINERD, MN 56401-7306
(218) 855-8767
Mailing address
11615 STATE AVE, BRAINERD, MN 56401-7306
(218) 855-8767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2178419
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7945
MN
Other
Enumeration date
10/31/2019
Last updated
11/10/2025
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