Individual
ASHLEY L POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4016 BRYCE AVE, FORT WORTH, TX 76107-4421
(415) 793-4860
Mailing address
4016 BRYCE AVE, FORT WORTH, TX 76107-4421
(415) 793-4860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
801455
TX
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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