Individual
CAROL POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1787 WAGNER AVE, MUSKEGON, MI 49442-2463
(231) 672-6209
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 672-4900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704104651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4466728
—
MI
Enumeration date
07/27/2006
Last updated
02/27/2008
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