Individual
MADONNA J POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 678-3275
Mailing address
PO BOX 710, MEAD, CO 80542-0710
(303) 522-8457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
49298
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003308
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/15/2007
Last updated
03/04/2008
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