Individual
EMILY POWLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E OLIN AVE, SUITE 201, MADISON, WI 53713
(608) 280-2740
Mailing address
204 E OLIN AVE STE 201, MADISON, WI 53713-1434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1111367
WI
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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