Provider Demographics
NPI:1609161074
Name:OWENS, BRIANNE (MD)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:OWENS
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 1:411 W 6TH ST
Mailing Address - Street 2:RENO TAHOE ANESTHESIA
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4415
Mailing Address - Country:US
Mailing Address - Phone:775-770-7342
Mailing Address - Fax:
Practice Address - Street 1:411 W 6TH ST
Practice Address - Street 2:RENO TAHOE ANESTHESIA
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4415
Practice Address - Country:US
Practice Address - Phone:775-770-7342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123758207L00000X
NV16479207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology