Individual
TARA LYNN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
212 MAPLE AVE, OAKLEY, KS 67748-1220
(785) 672-3261
Mailing address
215 E PINE ST, COLBY, KS 67701-3419
(785) 443-3284
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
53-79180-032
KS
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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