Individual
LAURIE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13000 BRUCE B. DOWNS BLVD., TAMPA, FL 33612
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11000355
FL
363LG0600X
Gerontology Nurse Practitioner
11000355
FL
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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