Female

Ms. Susan Owen NP-C

Adult Health Nurse Practitioner in Grand Rapids, MI(View on Map)

Full Name

Ms. Susan Owen NP-C

NPI Number

1871820514

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/17/2009

Specialties

(Taxonomies)

Code

363LA2200X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4704131097

Contact
Information

Purpose

Mailing
Location

Address

300 LAFAYETTE AVE SE
300 LAFAYETTE AVE SE

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49503-4650
49503-4650

Country

US
US

Telephone Number

N/A
(616) 685-3098

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/17/2009

Provider Address

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