Provider Demographics
NPI:1275923690
Name:OWENS, NATHANIEL SCOTT (FNP-C)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:SCOTT
Last Name:OWENS
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 SANTA ROSA RD RM 114
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5109
Mailing Address - Country:US
Mailing Address - Phone:804-210-3103
Mailing Address - Fax:833-471-5569
Practice Address - Street 1:1504 SANTA ROSA RD RM 114
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-5109
Practice Address - Country:US
Practice Address - Phone:804-210-3103
Practice Address - Fax:833-471-5569
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-24
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172265363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily