Provider Demographics
NPI:1104045426
Name:OWENS, LEVIS (NP MSN)
Entity Type:Individual
Prefix:MS
First Name:LEVIS
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:NP MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:BLDG 90, WARD 93 RM. 339-SFGH SUBSTANCE ABUSE PRG
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-3940
Mailing Address - Fax:415-206-6875
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:BLDG 90, WARD 93 RM. 339-SFGH SUBSTANCE ABUSE PRG
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-3940
Practice Address - Fax:415-206-6875
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN535368163WA0400X
CANPF11355363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
009555OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
009555OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER