Provider Demographics
NPI:1588612691
Name:OWENS, CLAIRE RENEE (PA)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:RENEE
Last Name:OWENS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3526
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27895-3526
Mailing Address - Country:US
Mailing Address - Phone:252-237-4100
Mailing Address - Fax:252-237-8449
Practice Address - Street 1:2402 CAMDEN ST
Practice Address - Street 2:SUITE 300
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27895-3526
Practice Address - Country:US
Practice Address - Phone:252-237-4100
Practice Address - Fax:252-237-8449
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00101908OtherRAILROAD MEDICARE
NCP68661Medicare UPIN
2756105CMedicare PIN
NCP00101908OtherRAILROAD MEDICARE