Individual
MORANDA MONE'T POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3208 HATCHER RD, SHREVEPORT, LA 71119-5334
(318) 799-4927
Mailing address
3208 HATCHER RD, SHREVEPORT, LA 71119-5334
(318) 799-4927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN147886
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
07/28/2020
Last updated
07/28/2020
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