Individual
DEANNA LEA POWELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, NP-C
Contact information
Practice address
1475 KISKER RD, SAINT CHARLES, MO 63304-8781
(636) 498-7505
(636) 498-7477
Mailing address
211 EVESHAM W, LAKE ST LOUIS, MO 63367-2546
(636) 795-1024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2011034113
MO
363LF0000X
Family Nurse Practitioner
Primary
2011034114
MO
Other
Enumeration date
10/16/2011
Last updated
11/02/2020
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