Basic Information
Provider Information
NPI: 1902086507
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OWENS
FirstName: ANNA KATE
MiddleName: E.
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UNIVERSITY OF NORTH CAROLINA HEMATOLOGY/ONCOLOGY
Address2: CB #7305, 3009 OLD CLINIC BLDG
City: CHAPEL HILL
State: NC
PostalCode: 275997305
CountryCode: US
TelephoneNumber: 9199664431
FaxNumber: 9199666735
Practice Location
Address1: UNIVERSITY OF NORTH CAROLINA HEMATOLOGY/ONCOLOGY
Address2: CB #7305, 3009 OLD CLINIC BLDG
City: CHAPEL HILL
State: NC
PostalCode: 275997305
CountryCode: US
TelephoneNumber: 9199664431
FaxNumber: 9199666735
Other Information
ProviderEnumerationDate: 11/12/2007
LastUpdateDate: 11/12/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X203059NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home