Individual
CHRISTINA R POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE STE 2000, MILWAUKEE, WI 53202-4809
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.015393
IL
Other
Enumeration date
03/10/2017
Last updated
10/12/2018
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