Provider Demographics
NPI:1134715147
Name:OWENS, BRITNIE LEIGH
Entity type:Individual
Prefix:
First Name:BRITNIE
Middle Name:LEIGH
Last Name:OWENS
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 1:5392 STATE ROUTE 139
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-8842
Mailing Address - Country:US
Mailing Address - Phone:740-464-7209
Mailing Address - Fax:
Practice Address - Street 1:5392 STATE ROUTE 139
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-8842
Practice Address - Country:US
Practice Address - Phone:740-464-7209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide