Individual
TREY POWRZANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
4350 N 19TH AVE STE 6, PHOENIX, AZ 85015-4602
(602) 264-9191
(602) 532-2973
Mailing address
10 W MINNEZONA AVENUE, UNIT 1125, PHOENIX, AZ 85013
(480) 455-8355
(480) 607-5119
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP5488
AZ
Other
Enumeration date
05/27/2014
Last updated
10/03/2018
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