Basic Information
| Provider Information | |||||||||
| NPI: | 1568869451 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OWENS-ROE | ||||||||
| FirstName: | LEAH | ||||||||
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| Credential: | APRN, CPNP-PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 OVERLOOK DR | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450056513 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377463204 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 CHILDRENS PLZ | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454041815 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9376413000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2014 | ||||||||
| LastUpdateDate: | 10/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WS0200X | RN246912 | OH | N | Nursing Service Providers | Registered Nurse | School | 163WS0200X | OH3085478 | OH | N | Nursing Service Providers | Registered Nurse | School | 363LP0200X | APRN.CNP.0027105 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.