Doctor Name: | MISTY H POWERS |
NPI Number: | 1043570328 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3007441 |
Business Practice Address: | 2211 Mayfair Dr Ste 301 Owensboro, KY - 423014572 |
Business Phone Number: | 2706886035 |
Business Fax Number: | 2706886056 |
Mailing Address: | 2211 Mayfair Dr Ste 301, OWENSBORO |
State: | KY |
Postal Code: | 423014572 |
Phone Number: | 2706886035 |
Fax Number: | 2706886056 |
NPI Enumeration Date: | 05/21/2012 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 3007441 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |