Provider Demographics
NPI:1942552021
Name:OWUSU, EVELYN (MA)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:OWUSU
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 S YORK ST
Mailing Address - Street 2:#101
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4245
Mailing Address - Country:US
Mailing Address - Phone:303-504-7820
Mailing Address - Fax:
Practice Address - Street 1:1925 S. YORK ST
Practice Address - Street 2:#101
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4245
Practice Address - Country:US
Practice Address - Phone:303-504-7820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program