Individual
MS. KATELYN ANN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
Mailing address
1218 BELROSE LN, CHARLOTTE, NC 28209-4547
(304) 320-9566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
252861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252861
NORTH CAROLINA BOARD OF NURSING
NC
Enumeration date
12/17/2018
Last updated
03/17/2021
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