Provider Demographics
NPI:1922408681
Name:HEATHER OWDA
Entity Type:Organization
Organization Name:HEATHER OWDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:OWDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-400-8546
Mailing Address - Street 1:7373 WERNER AVE
Mailing Address - Street 2:7373 WERNER AVENUE
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4267
Mailing Address - Country:US
Mailing Address - Phone:513-400-8546
Mailing Address - Fax:
Practice Address - Street 1:7373 WERNER AVE
Practice Address - Street 2:7373 WERNER AVENUE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4267
Practice Address - Country:US
Practice Address - Phone:513-400-8546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-01
Last Update Date:2014-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.147080-M-IV3140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric