Carolyn Marie Owens I

Individual provider Active NPI School Registered Nurse · Hagerman, NM

NPI 1255752127 · NPPES record last updated Dec 19, 2013

Key facts

NPI
1255752127
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
RO9981 (NM)
Practice address
406 Cambridge Ave
Hagerman, NM 88232-9610
Phone
(575) 752-0001
Fax
(575) 752-3255
NPI assigned
Dec 19, 2013
Sex
Female
Sole proprietor
No

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
RO9981NMMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RO9981 NM Yes

Addresses

Primary practice location

406 Cambridge Ave
Hagerman, NM 88232-9610

Mailing address

406 Cambridge Ave
Hagerman, NM 88232-9610
Phone (575) 752-0001

Other providers in Hagerman, NM

All providers in Hagerman, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.