Individual
CASEY POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3741 ROME DR # B, LAFAYETTE, IN 47905-4490
(765) 607-6160
Mailing address
PO BOX 684, DERBY, VT 05829-0684
(765) 586-8406
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71012449A
IN
Other
Enumeration date
11/25/2014
Last updated
04/04/2022
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