Healthcare Provider Details

I. General information

NPI: 1699875260
Provider Name (Legal Business Name): DARCEY OWINGS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S LAKEVIEW AVE SUITE 206
STURGIS MI
49091-2371
US

IV. Provider business mailing address

600 S LAKEVIEW AVE SUITE 206
STURGIS MI
49091-2371
US

V. Phone/Fax

Practice location:
  • Phone: 269-651-2011
  • Fax: 269-651-1775
Mailing address:
  • Phone: 269-651-2011
  • Fax: 269-651-1775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704141343
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: