Individual
NANCY D. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
925 SANTA FE DR, SUITE 111, WEATHERFORD, TX 76086-5866
(817) 599-4901
(817) 599-4902
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-1147
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
535331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84487U
BLUE CROSS BLUE SHIELD
TX
01
—
85303C
BLUECROSS BLUESHIELD
TX
Enumeration date
07/17/2006
Last updated
07/08/2007
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