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NPI Code Detail

MEDICARE: CHERYL N OWEN FNP

MEDICARE: CHERYL N OWEN FNP
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 Practitioner084833NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10292KOTHERNCBLUE CROSS BLUE SHEILD

General Provider Information

NPI Number : 1235224692
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL N OWEN FNP
Provider Business Mailing Address
First Line : 1188 SKYLAND DR
Second Line :
City : SYLVA
State : NC
Zip : 28779-8002
Country : US
Telephone Number : 828-339-2273
Fax Number : 828-339-2274
Provider Business Practice Location Address
First Line : 1188 SKYLAND DR
Second Line :
City : SYLVA
State : NC
Zip : 28779-8002
Country : US
Telephone Number : 828-339-2273
Fax Number : 828-339-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/27/2020

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