Basic Information
| Provider Information | |||||||||
| NPI: | 1639349087 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OWENS | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | MSN, CCRN, CPNP-PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 333 S. COLUMBIA STREET | ||||||||
| Address2: | CB #7225, 231 MACNIDER BUILDING | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275147225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199662504 | ||||||||
| FaxNumber: | 9199663852 | ||||||||
| Practice Location | |||||||||
| Address1: | 333 S. COLUMBIA STREET | ||||||||
| Address2: | CB #7225, 231 MACNIDER BUILDING | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275147225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199662504 | ||||||||
| FaxNumber: | 9199663852 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2008 | ||||||||
| LastUpdateDate: | 10/25/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0200X | 5003925 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 5003925 | 01 | NC | NC BOARD OF NURSING PROVIDER NUMBER | OTHER |