NPI 1003627829

Mayle Owen

Practitioner Physician Assistant Omaha, NE

Practice location

Address: 2816 N 165th Cir, Omaha, NE 68116-7502
Phone: (402) 312-1097

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003627829
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2025
Record last updated: 20 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.