Suzanne Owens

Individual provider Active NPI Registered Nurse · Pryor, MT

NPI 1154873867 · NPPES record last updated Oct 28, 2016

Key facts

NPI
1154873867
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN-25174 (MT)
Practice address
2 Pryor Gap Road
Pryor, MT 59066-0009
Phone
(406) 259-9813
Fax
(406) 259-2976
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN-25174MTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
US Health Dept of Health & Human Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-25174 MT Yes

Addresses

Primary practice location

2 Pryor Gap Road
Pryor, MT 59066-0009

Mailing address

PO Box 9
Pryor, MT 59066-0009

Other providers in Pryor, MT

All providers in Pryor, MT · Registered Nurse in Montana

Sources for this page

Verify at the official NPI Registry.