Individual
PAMELA D. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
6425 W MEQUON RD, MEQUON, WI 53092-1855
(262) 242-0051
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5158
WI
Other
Enumeration date
11/19/2012
Last updated
07/01/2015
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