=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568030872
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH OWENS FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/14/2021
-----------------------------------------------------
Last Update Date | 02/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 221 SPRINGER RD
-----------------------------------------------------
City | WEST SAND LAKE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12196-2035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-738-7384
-----------------------------------------------------
Fax | 518-249-6890
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 221 SPRINGER RD
-----------------------------------------------------
City | WEST SAND LAKE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12196-2035
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-738-7384
-----------------------------------------------------
Fax | 518-249-6890
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | F347737-01
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------