OWEN DUBBS CRNP NPI 1104541614

NPI Information

  • NPI: 1104541614
  • Provider Name: OWEN DUBBS, CRNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35 MONUMENT RD STE 201
    YORK, PA
    ZIP 17403
  • Phone: (717) 812-4083

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NPI Details

Owen Dubbs, CRNP is a family nurse practitioner in York, PA with 4 years of experience. Owen Dubbs, CRNP NPI is 1104541614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35 MONUMENT RD STE 201
YORK, PA
ZIP 17403-074
Phone: (717) 812-4083
Fax: (717) 812-2244

The NPI 1104541614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2022 and was last updated on 4/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilySP026407PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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