Provider Demographics
NPI:1790567949
Name:OWINO, BRIGID
Entity Type:Individual
Prefix:
First Name:BRIGID
Middle Name:
Last Name:OWINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 E HADLEY RD APT 77
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-3602
Mailing Address - Country:US
Mailing Address - Phone:646-671-5486
Mailing Address - Fax:
Practice Address - Street 1:170 E HADLEY RD APT 77
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-3602
Practice Address - Country:US
Practice Address - Phone:646-671-5486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-20
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker