Individual
MRS. DANNA ELIZABETH POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
422 W WHITE ST, CLINTON, IL 61727-2272
(217) 937-5285
(217) 937-5296
Mailing address
RR 1 BOX 56, WAPELLA, IL 61777-9710
(217) 935-6793
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209001142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209001142
STAE LICENSE
IL
01
—
P00626770
RAILROAD MEDICARE
IL
Enumeration date
04/25/2007
Last updated
10/05/2011
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