Individual
MARCELLE S POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(903) 360-5104
Mailing address
PO BOX 8027, TYLER, TX 75711-8027
(903) 526-1068
(903) 593-4290
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RNA203001
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
517142
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86321U
BLUE CROSS OF TX
TX
Enumeration date
01/09/2007
Last updated
03/13/2020
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