IndividualActive
Gwendolyn Owens
NPI 1417375916 · Driver · Fort Wayne, IN
Provider details
- NPI number
- 1417375916
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 172A00000X (IN)
Specialties & taxonomies
Other Service Providers
Practice location
4821 Pocono Xing
Fort Wayne, IN 46808-3570
Phone: (260) 222-1620
Approximate (ZIP-level) locationGet directions
Mailing address
4821 Pocono Xing
Fort Wayne, IN 46808-3570
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2014-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.