Basic Information
Provider Information
NPI: 1568735736
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OWENS
FirstName: KAREN
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: WEED
OtherFirstName: KAREN
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: 3700 FETTLER PARK DRIVE
Address2: DUMFRIES HEALTH CLINIC
City: DUMFRIES
State: VA
PostalCode: 22025
CountryCode: US
TelephoneNumber: 7034417500
FaxNumber: 8046733228
Practice Location
Address1: 3700 FETTLER PARK DRIVE
Address2: DUMFRIES HEALTH CLINIC
City: DUMFRIES
State: VA
PostalCode: 22025
CountryCode: US
TelephoneNumber: 7034417500
FaxNumber: 8046733228
Other Information
ProviderEnumerationDate: 02/17/2012
LastUpdateDate: 04/26/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LX0001X0024166331VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


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