Powell, Renea L

Powell, Renea L is an individual health care provider with primary practice located at 4311 Wesley St , Greenville TX 75401-5639. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Powell, Renea L can be contacted via phone (903) 455-5958.

Contact Information

Primary practice address
4311 Wesley St Greenville TX 75401-5639
Phone: (903) 455-5958
Fax: (903) 455-1604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 687079 Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X AP115027 Texas

Profile Details

NPI number 1104933134
LBN Legal business name Powell, Renea L
Credentials RN,MSN,NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Aug 9th, 2022 - about 2 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 1104933134 NPPES
Texas MEDICAID 179237604

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