Individual
MS. ELIZABETH RENEE POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
965 ELM STREET, CONCORD, MA 01742
(978) 405-6100
(978) 287-5169
Mailing address
8 CHERRY HILL RD, SHREWSBURY, MA 01545-4700
(617) 823-1834
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
216555
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053930602
NPI
—
01
—
216555
NURSING LICENSE
MA
05
—
216555
—
MA
Enumeration date
04/14/2020
Last updated
02/04/2022
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