Provider Demographics
NPI:1407031214
Name:OWEN, HOPE DUPRE (CNM)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:DUPRE
Last Name:OWEN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20432 S 560 RD
Mailing Address - Street 2:
Mailing Address - City:WELLING
Mailing Address - State:OK
Mailing Address - Zip Code:74471-2006
Mailing Address - Country:US
Mailing Address - Phone:918-458-5274
Mailing Address - Fax:
Practice Address - Street 1:20432 S 560 RD
Practice Address - Street 2:
Practice Address - City:WELLING
Practice Address - State:OK
Practice Address - Zip Code:74471-2006
Practice Address - Country:US
Practice Address - Phone:918-458-5274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0045569367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife