Individual
MARY V POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
289 W HUNTINGTON DR STE 205, ARCADIA, CA 91007-3492
(626) 353-8531
Mailing address
289 W HUNTINGTON DR, SUITE 205, ARCADIA, CA 91007-3495
(626) 353-8531
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
542206
CA
163WI0500X
Infusion Therapy Registered Nurse
542206
CA
163WP2201X
Ambulatory Care Registered Nurse
542206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430079592
RAILROAD MEDICARE
AZ
05
—
479594
—
AZ
Enumeration date
12/02/2005
Last updated
09/17/2014
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