Individual provider · Type 1 NPI
Susan Marguerite Owen
Family Nurse Practitioner · Eagle, ID
NPI number
1366317364
Active
Practice location
2862 E Shadowview St
Eagle, ID 83616-5670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 72955 (ID) |
| Family Nurse Practitioner Primary | 363LF0000X | 5471685 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1366317364
Susan Marguerite Owen's National Provider Identifier is 1366317364, issued on Oct 8, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Eagle, ID. The record was last updated on Oct 22, 2025.