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NPI Code Detail

MEDICARE: MRS. MELISSA ANN OWENS NP

MEDICARE: MRS. MELISSA ANN OWENS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN-2165HI
2363LF0000XFamily Nurse PractitionerR892549MS
3363LF0000XFamily Nurse Practitioner114676NE
4363LF0000XFamily Nurse Practitioner52066WY
5363LF0000XFamily Nurse PractitionerCP002623SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083938476
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA ANN OWENS NP
Provider Business Mailing Address
First Line : 1730 HAINES AVE
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-0615
Country : US
Telephone Number : 605-791-7728
Fax Number : 308-633-1327
Provider Business Practice Location Address
First Line : 1730 HAINES AVE
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-0615
Country : US
Telephone Number : 605-791-7728
Fax Number : 308-633-1327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2010
Last Update Date : 04/27/2023

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