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Organization

PATRICE POWELL ADULT HEALTH NP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICE ROBIN POWELL DNP (NURSE PRACTITIONER)
(888) 855-2584
Entity
Organization

Contact information

Practice address
16040 78TH RD STE 100, FRESH MEADOWS, NY 11366-1969
(888) 855-2584
(888) 855-1622
Mailing address
21503 JAMAICA AVE # 52, QUEENS VILLAGE, NY 11428-1783

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
251E00000X
Home Health Agency
261Q00000X
Clinic/Center
363LA2200X
Adult Health Nurse Practitioner
363LC1500X
Community Health Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
09/22/2022
Last updated
01/04/2024
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