Individual
CHERYL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
12212 DUSTY MILLER PL, RIVERVIEW, FL 33579-7721
(727) 480-4811
Mailing address
12212 DUSTY MILLER PL, RIVERVIEW, FL 33579-7721
(727) 480-4811
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11029768
FL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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