Provider Demographics
NPI:1861235400
Name:OWUSU, MAVIS (RN,MSN, APRN,FNP-BC)
Entity type:Individual
Prefix:
First Name:MAVIS
Middle Name:
Last Name:OWUSU
Suffix:
Gender:
Credentials:RN,MSN, APRN,FNP-BC
Other - Prefix:
Other - First Name:MAVIS
Other - Middle Name:
Other - Last Name:GYAU-ANING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSC
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:719-463-5600
Mailing Address - Fax:
Practice Address - Street 1:1421 S POTOMAC ST STE 320
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4512
Practice Address - Country:US
Practice Address - Phone:303-894-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999835-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily