Individual
LISA MARIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1250516
MN
163WP0808X
Psychiatric/Mental Health Registered Nurse
1250516
MN
Other
Enumeration date
01/27/2025
Last updated
06/06/2025
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