Individual
VANCE DALY POWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, NP-C
Contact information
Practice address
27015 W WARREN ST, DEARBORN HEIGHTS, MI 48127-1901
(313) 278-1982
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704283371
MI
363LF0000X
Family Nurse Practitioner
4704283371
MI
Other
Enumeration date
07/25/2015
Last updated
01/23/2025
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