Provider Demographics
NPI:1386726172
Name:OWENS, SUSAN MCLEOD (RN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:MCLEOD
Last Name:OWENS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SIMMS TRL
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-2333
Mailing Address - Country:US
Mailing Address - Phone:828-686-2073
Mailing Address - Fax:
Practice Address - Street 1:6 SIMMS TRL
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-2333
Practice Address - Country:US
Practice Address - Phone:828-686-2073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC119520163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health