Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP3521 | AZ |
NPI | 1023348885 |
---|---|
Provider Name | Miss Sook Yun Owen |
First Address | Yuma, AZ 85365-3295 |
Second Address | Bullhead City, AZ 86442-7906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2009 |
Last Update Date | 20/11/2014 |