Doctor Name: | MRS. NANCY M POWELL |
NPI Number: | 1326049354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 2664P |
Business Practice Address: | 1010 Medical Center Dr Powderly, KY - 423675463 |
Business Phone Number: | 2703771631 |
Business Fax Number: | 2703771683 |
Mailing Address: | 1010 Medical Center Dr, POWDERLY |
State: | KY |
Postal Code: | 423675463 |
Phone Number: | 2703771631 |
Fax Number: | 2703771683 |
NPI Enumeration Date: | 08/01/2005 |
NPI Last Update Date: | 12/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2664P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |