Provider Demographics
NPI:1497970479
Name:OWENS-SLOAN, NATALIE CHRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:CHRISTINA
Last Name:OWENS-SLOAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:988102 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-8102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:EMILE @ 42ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-0001
Practice Address - Country:US
Practice Address - Phone:402-552-6731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE29647207R00000X
MEMD22865207R00000X
WY9585A207R00000X
SD9635207R00000X
NC2010-00874207R00000X
IDM-14139207R00000X
MT43817207R00000X
GA64878207R00000X
AKMEDS6475207R00000X
HIMD-15315207R00000X
SC30175207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00437306OtherRR MEDICARE
SC301756Medicaid
SCAA21665019Medicare PIN
SCP00437306OtherRR MEDICARE
SCP00437306OtherRR MEDICARE
SCAA21667951Medicare PIN
SC576007863095OtherBCBS