Healthcare Provider Details

I. General information

NPI: 1104045426
Provider Name (Legal Business Name): LEVIS OWENS NP MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 12/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE BLDG 90, WARD 93 RM. 339-SFGH SUBSTANCE ABUSE PRG
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

1001 POTRERO AVE BLDG 90, WARD 93 RM. 339-SFGH SUBSTANCE ABUSE PRG
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-3940
  • Fax: 415-206-6875
Mailing address:
  • Phone: 415-206-3940
  • Fax: 415-206-6875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN535368
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNPF11355
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: