Provider Demographics
NPI:1700679073
Name:OWENS, ROBIN LORAINE (REGISTERED NURSE-RN)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LORAINE
Last Name:OWENS
Suffix:
Gender:F
Credentials:REGISTERED NURSE-RN
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:LORAINE
Other - Last Name:MARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5317 N 74TH STREET
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-2830
Mailing Address - Country:US
Mailing Address - Phone:414-510-8890
Mailing Address - Fax:414-464-9947
Practice Address - Street 1:5317 N 74TH STREET
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-2830
Practice Address - Country:US
Practice Address - Phone:414-510-8890
Practice Address - Fax:414-464-9947
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI120041-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse