Individual
WANDA JEAN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
420 NORTH CENTER ST, FRYE REGIONAL MEDICAL CENTER, HICKORY, NC 28601
(828) 315-5688
Mailing address
2310 3RD ST NE, HICKORY, NC 28601-1406
(828) 324-0030
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
65278
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65278
NNP LICENSES
NC
Enumeration date
02/15/2007
Last updated
07/08/2007
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