Individual
TRACI A POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4439 STATE ROUTE 159 STE 150, CHILLICOTHE, OH 45601-7833
(740) 779-8728
(740) 775-7855
Mailing address
PO BOX 188, 1049 WESTERN AVENUE, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
312729
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016042
—
OH
Enumeration date
08/11/2009
Last updated
12/29/2020
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