Powell, Mary V
Powell, Mary V is an individual health care provider with primary practice located at 289 W Huntington Dr Ste 205 , Arcadia CA 91007-3492. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Nursing Service Providers / Ambulatory Care, Nursing Service Providers / Infusion Therapy. Nursing Service Providers / Administrator is her primary health care specialty. Powell, Mary V can be contacted via phone (626) 353-8531.Contact Information
Primary practice address
289 W Huntington Dr Ste 205
Arcadia CA 91007-3492
Phone: (626) 353-8531
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Administrator | 163WA2000X | 542206 | California |
Nursing Service Providers / Ambulatory Care | 163WP2201X | 542206 | California |
Nursing Service Providers / Infusion Therapy | 163WI0500X | 542206 | California |
Profile Details
NPI number | 1740264779 |
---|---|
LBN Legal business name | Powell, Mary V |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2005 |
Last updated | Sep 17th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740264779 | NPPES |
Arizona | MEDICAID | 479594 | |
Arizona | Other | 430079592 |
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