Individual
ASHLEY RENAE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2090 SMOKETREE AVE N, LAKE HAVASU CITY, AZ 86403-5806
(928) 854-1800
Mailing address
720 OVERLIN DR, GLENWOOD SPRINGS, CO 81601-3266
(928) 230-4155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235196
AZ
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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