Provider Demographics
NPI:1750614780
Name:OWENS, EWA ELZBIETA
Entity type:Individual
Prefix:
First Name:EWA
Middle Name:ELZBIETA
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 1:3000 41ST ST OCEAN
Mailing Address - Street 2:GUIDANCE CLINIC OF THE MIDDLE KEYS
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050
Mailing Address - Country:US
Mailing Address - Phone:305-434-9000
Mailing Address - Fax:
Practice Address - Street 1:3000 41ST ST OCEAN
Practice Address - Street 2:GUIDANCE CLINIC OF THE MIDDLE KEYS
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050
Practice Address - Country:US
Practice Address - Phone:305-434-9000
Practice Address - Fax:305-434-9041
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9267959163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult