Provider Demographics
NPI:1154110153
Name:OWENS, SHARON MADGALENA DOLORES
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:MADGALENA DOLORES
Last Name:OWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:MADGALENA DOLORES
Other - Last Name:GARCUA-ESQUEVEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:625 S ROSS AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-6139
Mailing Address - Country:US
Mailing Address - Phone:402-462-5176
Mailing Address - Fax:402-462-5120
Practice Address - Street 1:600 W F ST
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-6034
Practice Address - Country:US
Practice Address - Phone:402-461-3532
Practice Address - Fax:402-462-5120
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion