Individual
MS. CALEY IRENE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.N.,R.N.
Contact information
Practice address
7185 CLARKS POINT RD, WINNECONNE, WI 54986-9761
(920) 836-3367
(920) 836-3049
Mailing address
7185 CLARKS POINT RD, WINNECONNE, WI 54986-9761
(920) 836-3367
(920) 836-3049
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
64542-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39982900
—
WI
Enumeration date
04/12/2007
Last updated
07/09/2007
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