Doctor Name: | MS. CALEY IRENE POWELL |
NPI Number: | 1609090604 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.S.N.,R.N. |
License Number: | 64542-030 |
Business Practice Address: | 7185 Clarks Point Rd Winneconne, WI - 549869761 |
Business Phone Number: | 9208363367 |
Business Fax Number: | 9208363049 |
Mailing Address: | 7185 Clarks Point Rd, WINNECONNE |
State: | WI |
Postal Code: | 549869761 |
Phone Number: | 9208363367 |
Fax Number: | 9208363049 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 64542-030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |