Individual
DENNIS POWLESS
Active
Individual
DENNIS POWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704196401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003822412
BCBSM
MI
05
—
1548596455
—
MI
Enumeration date
10/28/2009
Last updated
04/11/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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