Individual
HAVEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 MON GENERAL DR, MORGANTOWN, WV 26505-2853
(304) 285-2720
Mailing address
1633 SPEEDWAY AVE, FAIRMONT, WV 26554-4537
(724) 413-7498
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
112961
WV
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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