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Individual

KATHERINE POWE DEAVERS

Active
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Individual

KATHERINE POWE DEAVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, FNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN100964
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP100964
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01341907
AMERIGROUP
GA
01
571471
WELLCARE
GA
05
738974330B
GA
05
738974330C
GA
01
P00847058
MEDICARE RAILROAD
GA
Enumeration date
12/02/2005
Last updated
10/30/2025
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