Monticello Powell, Mary Elizabeth
Monticello Powell, Mary Elizabeth is an individual health care provider with primary practice located at 410 S 11Th St , Lake Wales FL 33853-4203. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Monticello Powell, Mary Elizabeth can be contacted via phone (863) 419-2188.Contact Information
Primary practice address
410 S 11Th St
Lake Wales FL 33853-4203
Phone: (863) 419-2188
Fax: (863) 419-2540
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5976 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP2085022 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN2085022 | Florida |
Profile Details
NPI number | 1972668754 |
---|---|
LBN Legal business name | Monticello Powell, Mary Elizabeth |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 22nd, 2006 |
Last updated | Oct 20th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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