Individual provider · Type 1 NPI
Susan Owen, NP-C
Adult Health Nurse Practitioner · Grand Rapids, MI
NPI number
1871820514
Active
Practice location
300 Lafayette Ave SE, Suite 2045
Grand Rapids, MI 49503-4650
Fax (616) 685-3095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704131097 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1871820514
Susan Owen, NP-C's National Provider Identifier is 1871820514, issued on Nov 17, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 17, 2009.