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Organization
PATRICE POWELL ADULT HEALTH NP PLLC
Active
Organization
PATRICE POWELL ADULT HEALTH NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICE ROBIN POWELL DNP (NURSE PRACTITIONER)
(888) 855-2584
Entity
Organization
Contact information
Practice address
16040 78TH RD STE 100, FRESH MEADOWS, NY 11366-1969
(888) 855-2584
(888) 855-1622
Mailing address
16040 78TH RD, FRESH MEADOWS, NY 11366-1969
(917) 612-7019
(888) 855-1266
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
251E00000X
Home Health Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC1500X
Community Health Nurse Practitioner
—
NULL
363LC1500X
Community Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
05/20/2026
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