Doctor Name: | FREDA Y POWERS |
NPI Number: | 1295067957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0024168628 |
Business Practice Address: | 8243 Riverside Drive Oakwood, VA - 24631 |
Business Phone Number: | 2734983446 |
Business Fax Number: | 2764987909 |
Mailing Address: | P.o. Box 669, 1532 Slate Slate Rd GRUNDY |
State: | VA |
Postal Code: | 24614 |
Phone Number: | 2739351167 |
Fax Number: | 2769351219 |
NPI Enumeration Date: | 02/05/2010 |
NPI Last Update Date: | 02/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024168628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |