Individual
STEPHANIE PEYTON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4606 GREENWOOD RD, LOUISVILLE, KY 40258-3726
(502) 937-2209
(502) 933-8714
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3003195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1080967
KY BOARD OF NURSING
KY
01
—
3195P
KY BOARD OF NURSING
KY
Enumeration date
12/06/2007
Last updated
12/09/2021
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