Individual
GENA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 E BOONE ST, TAHLEQUAH, OK 74464-3338
(918) 456-7700
(918) 458-9314
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(918) 772-3390
(918) 772-3638
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
134484
OK
363LP0200X
Pediatric Nurse Practitioner
A003730
AR
Other
Enumeration date
09/11/2012
Last updated
10/04/2019
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