Individual
NANCY A. POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1423 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3335
(208) 765-1444
Mailing address
PO BOX 3743, COEUR D ALENE, ID 83816-2529
(208) 691-4864
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 18129
CA
103T00000X
Psychologist
Primary
PSY-202055
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010146530
REGENCE BLUESHIELD OF IDA
ID
01
—
N5467
BLUE CROSS OF IDAHO
ID
Enumeration date
04/13/2007
Last updated
06/28/2016
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