Individual
AMBRE' LACHELLE POWNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
R79537
AR
363LP0200X
Pediatric Nurse Practitioner
Primary
A03311
AR
Other
Enumeration date
01/02/2008
Last updated
11/06/2014
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