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Individual

MICHELLE A. POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1400 E. KINCAID ST., SKAGIT REGIONAL CLINICS, MOUNT VERNON, WA 98274-4127
(360) 428-2592
(360) 428-2560
Mailing address
1400 E. KINCAID ST., ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30002568
WA
363LA2200X
Adult Health Nurse Practitioner
AP30002568
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
263697
LABOR & INDUSTRIES
WA
05
9608415
WA
Enumeration date
04/14/2006
Last updated
10/05/2012
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