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Individual

ELIZABETH ANN POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, RN, ATC

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001607
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020948
OH

Other

Enumeration date
07/11/2017
Last updated
07/11/2017
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