Derek Lawrence Owens, CRNA
Nurse Anesthetist, Certified Registered in Turlock, CA. Individual provider (NPI-1).
NPI number1891018024
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1891018024
- Entity type
- Individual (NPI-1)
- Name
- Derek Lawrence Owens
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2010
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024184265 | VA | Yes |
| 146L00000X | Emergency Medical Technician, Paramedic | 516784 | FL | |
| 163W00000X | Registered Nurse | 650398 | CA | |
| 367500000X | Nurse Anesthetist, Certified Registered | 260373 | AZ | |
| 367500000X | Nurse Anesthetist, Certified Registered | 3897 | CA | |
| 367500000X | Nurse Anesthetist, Certified Registered | 9197186 | FL |
Practice location
1801 Colorado Ave Ste 140Turlock, CA 95382-2711
Phone 209-216-3470 · Fax 209-216-3475
Mailing address
213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Phone 540-224-5715
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