Provider Demographics
NPI:1265736623
Name:OWENS, NORA Q
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:Q
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 1:6722 CHERYL ANN DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-3721
Mailing Address - Country:US
Mailing Address - Phone:216-573-0822
Mailing Address - Fax:216-573-0822
Practice Address - Street 1:6722 CHERYL ANN DR
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-3721
Practice Address - Country:US
Practice Address - Phone:216-573-0822
Practice Address - Fax:216-573-0822
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00016389171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator