Healthcare Provider Details

I. General information

NPI: 1184558884
Provider Name (Legal Business Name): EMMA OWENS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 CALIFORNIA ST
EVERETT WA
98201-3540
US

IV. Provider business mailing address

1509 CALIFORNIA ST
EVERETT WA
98201-3540
US

V. Phone/Fax

Practice location:
  • Phone: 425-297-5771
  • Fax: 425-259-5830
Mailing address:
  • Phone: 425-297-5771
  • Fax: 425-259-5830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN61602733
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: