Provider Demographics
NPI:1811784598
Name:OWENS, REBECCA A (DNP MBA MSN RN PMH-B)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:OWENS
Suffix:
Gender:
Credentials:DNP MBA MSN RN PMH-B
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Mailing Address - Street 1:1330 1ST AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4743
Mailing Address - Country:US
Mailing Address - Phone:917-600-6344
Mailing Address - Fax:
Practice Address - Street 1:1330 1ST AVE APT 206
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4743
Practice Address - Country:US
Practice Address - Phone:917-600-6344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY641822-01163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health