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Individual

WARSEAL POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1100 MERCANTILE LN STE 135, LARGO, MD 20774-5361
(301) 773-9700
(301) 773-4900
Mailing address
1009 WINDCROSS CT, STE 101, FRANKLIN, TN 37067-2678
(615) 224-5438
(855) 247-8787

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1092007
AL
363LF0000X
Family Nurse Practitioner
Primary
R182162
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC003086
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
631400166
AL
Enumeration date
05/20/2006
Last updated
08/15/2023
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