| Doctor Name: | STEPHANIE M POWERS |
| NPI Number: | 1598046583 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | R032459 |
| Business Practice Address: | 2050a Second Street Se Kirtland Afb, NM - 871175522 |
| Business Phone Number: | 5058463317 |
| Business Fax Number: | 5058463701 |
| Mailing Address: | 2050a Second Street Se, KIRTLAND AFB |
| State: | NM |
| Postal Code: | 871175522 |
| Phone Number: | 5058463317 |
| Fax Number: | 5058463701 |
| NPI Enumeration Date: | 09/02/2011 |
| NPI Last Update Date: | 09/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R032459 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |