Individual
SORAYA M. POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 5520, BETHLEHEM, PA 18015-0520
(610) 954-5810
(610) 954-5480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN312903L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
071613
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025567200002
—
PA
01
—
11803103
CAQH
PA
01
—
1545483
GATEWAY
PA
01
—
1622824
HIGHMARK
PA
01
—
2000725
KHP CENTRAL
PA
01
—
2299723000
IND. BLUE CROSS
PA
01
—
50037030
CAPITAL ADVANTAGE
PA
01
—
87368
GEISINGER
PA
01
—
9855448
AETNA
PA
Enumeration date
09/16/2005
Last updated
12/14/2021
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