National Provider Identifier

Mia M Owens, FNP

Mia M Owens, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 338-1400.

NPI 1326303512Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1326303512
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 12, 2012
Last Updated
August 29, 2024

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 338-1400

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Licensed Practical Nurse (164W00000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1326303512
Entity Type
Individual
Last Name
Owens
First Name
Mia
Middle Name
M
Name Prefix
MS.
Credential
FNP
Provider Other Last Name
Parker
Provider Other First Name
Mia
Provider Other Middle Name
M
Provider Other Credential Text
FNP
Provider Other Last Name Type Code
1
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 338-1400
Enumeration Date
July 12, 2012
Last Updated
August 29, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 29, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Licensed Practical Nurse (164W00000X), Registered Nurse (163W00000X)