Individual
MRS. TINA MARGARETA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5109 280TH LN NE, REDMOND, WA 98053-8829
(425) 880-6677
Mailing address
5109 280TH LN NE, REDMOND, WA 98053-8829
(425) 880-6677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3040044405
UT
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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