Individual
MRS. RENEA L POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,NNP
Contact information
Practice address
4311 WESLEY ST, GREENVILLE, TX 75401-5639
(903) 455-5958
(903) 455-1604
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 456-2331
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
687079
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP115027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179237604
—
TX
Enumeration date
08/24/2006
Last updated
08/09/2022
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