Anita Mae Owen, LPN

Individual provider Active NPI Licensed Practical Nurse · Hamersville, OH

NPI 1215066022 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215066022
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN.103159 (OH)
Practice address
7646 Love Rd
Hamersville, OH 45130-8744
Phone
(937) 375-1414
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

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
PN.103159OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.103159 OH Yes

Addresses

Primary practice location

7646 Love Rd
Hamersville, OH 45130-8744

Mailing address

PO Box 156
Feesburg, OH 45119-0156
Phone (937) 375-1414

Other providers in Hamersville, OH

All providers in Hamersville, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.