Provider Demographics
NPI:1699875260
Name:OWINGS, DARCEY (CNP)
Entity type:Individual
Prefix:
First Name:DARCEY
Middle Name:
Last Name:OWINGS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S LAKEVIEW AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-2371
Mailing Address - Country:US
Mailing Address - Phone:269-651-2011
Mailing Address - Fax:269-651-1775
Practice Address - Street 1:600 S LAKEVIEW AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-2371
Practice Address - Country:US
Practice Address - Phone:269-651-2011
Practice Address - Fax:269-651-1775
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704141343363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health