Individual provider · Type 1 NPI
Mariah Kelly Owens, MSN
Gerontology Nurse Practitioner · Longwood, FL
NPI number
1861283640
Active
Practice location
901 W Warren Ave
Longwood, FL 32750-4003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11037760 (FL) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1861283640
Mariah Kelly Owens, MSN's National Provider Identifier is 1861283640, issued on May 13, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Longwood, FL. The record was last updated on May 13, 2025.