Provider Demographics
NPI:1811253446
Name:OWENS, DANNA MARIE
Entity type:Individual
Prefix:
First Name:DANNA
Middle Name:MARIE
Last Name:OWENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANNA
Other - Middle Name:MARIE
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:707 BROADWAY BLVD NE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2360
Mailing Address - Country:US
Mailing Address - Phone:505-268-0717
Mailing Address - Fax:505-232-9055
Practice Address - Street 1:6501 4TH ST NW
Practice Address - Street 2:SUITEF-4
Practice Address - City:LOS RANCHOS
Practice Address - State:NM
Practice Address - Zip Code:87107-5800
Practice Address - Country:US
Practice Address - Phone:505-344-9641
Practice Address - Fax:505-344-2621
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator