Powell, Lisa Gail

Powell, Lisa Gail is an individual health care provider with primary practice located at 2580 Highway 95 #1250, Bullhead City AZ 86442-7491. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Powell, Lisa Gail can be contacted via phone (928) 763-7776.

Contact Information

Primary practice address
2580 Highway 95 #1250 Bullhead City AZ 86442-7491
Phone: (928) 763-7776
Fax: (928) 763-7786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 75803 Kansas

Profile Details

NPI number 1831432731
LBN Legal business name Powell, Lisa Gail
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2013
Last updated Jul 27th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831432731 NPPES
Kansas Other 75803 KANSAS LICENSE
Kansas MEDICAID SBHS KANSAS LICENSE

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