Provider Demographics
NPI:1407825847
Name:OWERS, SARAH ANN (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:OWERS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 THOMPSON BAY LOOP
Mailing Address - Street 2:
Mailing Address - City:NEW BLAINE
Mailing Address - State:AR
Mailing Address - Zip Code:72851
Mailing Address - Country:US
Mailing Address - Phone:479-938-1030
Mailing Address - Fax:479-938-7734
Practice Address - Street 1:ONE CHOCTAW WAY
Practice Address - Street 2:
Practice Address - City:TALIHINA
Practice Address - State:OK
Practice Address - Zip Code:74571
Practice Address - Country:US
Practice Address - Phone:918-567-7000
Practice Address - Fax:918-567-7090
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0082284367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR145705701Medicaid
FL303853000Medicaid
FLG2911ZMedicare ID - Type Unspecified
FL303853000Medicaid
KS110017028Medicare PIN