Individual
MELISSA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3084
Mailing address
515 S 27TH ST, PHILADELPHIA, PA 19146-1012
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
SP012841
PA
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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