Provider Demographics
NPI:1740772235
Name:RASMUSSEN, SYDNEY ELIZABETH OWENS (MMS, MA, PA-C)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ELIZABETH OWENS
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:MMS, MA, PA-C
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:ELIZABETH
Other - Last Name:RASMUSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1335 GERONIMO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-1836
Mailing Address - Country:US
Mailing Address - Phone:915-591-2704
Mailing Address - Fax:915-598-3946
Practice Address - Street 1:400 SHADOW MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4030
Practice Address - Country:US
Practice Address - Phone:915-591-2704
Practice Address - Fax:915-598-3946
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant