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NPI Code Detail

MEDICARE: KAMEREN JOY OWENS ANP

MEDICARE: KAMEREN JOY OWENS ANP
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
1363LA2200XAdult Health Nurse PractitionerAPN000879NV
2363LA2200XAdult Health Nurse Practitioner1744HI
3363LF0000XFamily Nurse Practitioner15943CA
4363LA2200XAdult Health Nurse Practitioner15943CA

General Provider Information

NPI Number : 1942225156
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMEREN JOY OWENS ANP
Provider Business Mailing Address
First Line : 3569 ROUND BARN CIR
Second Line : STE 203
City : SANTA ROSA
State : CA
Zip : 95403-5781
Country : US
Telephone Number : 707-303-3600
Fax Number :
Provider Business Practice Location Address
First Line : 751 LOMBARDI CT
Second Line :
City : SANTA ROSA
State : CA
Zip : 95407-6798
Country : US
Telephone Number : 707-303-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 05/02/2023

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Directions to “ KAMEREN JOY OWENS ANP” Practice Location

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