Individual
AUDREY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
39943
OK
164W00000X
Licensed Practical Nurse
Primary
NURP7165
AK
Other
Enumeration date
08/12/2016
Last updated
07/19/2022
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