Provider Demographics
NPI:1881460129
Name:OWENS, STEPHANIE TAYLOR (DNP, APRN, FNP-C, RN)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:TAYLOR
Last Name:OWENS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C, RN
Other - Prefix:
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Mailing Address - Street 1:2600 MARBLE AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2058
Mailing Address - Country:US
Mailing Address - Phone:505-272-4475
Mailing Address - Fax:505-272-7299
Practice Address - Street 1:2600 MARBLE AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2058
Practice Address - Country:US
Practice Address - Phone:505-272-4475
Practice Address - Fax:505-272-7299
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2025-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM76142363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner