Powell, Shirley Lucille

Powell, Shirley Lucille is an individual health care provider with primary practice located at 2510 Airpark Dr Ste 104 , Redding CA 96001-2461. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Powell, Shirley Lucille can be contacted via phone (530) 242-3570.

Contact Information

Primary practice address
2510 Airpark Dr Ste 104 Redding CA 96001-2461
Phone: (530) 242-3570
Fax: (530) 242-3572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 672043
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 16701 California

Profile Details

NPI number 1134222169
LBN Legal business name Powell, Shirley Lucille
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Mar 7th, 2023 - about last year

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 1134222169 NPPES
Other 09315405 CERTIFIED DIABETES EDUCAT
Other 16701 CERTIFIED DIABETES EDUCAT
Other 672043 CERTIFIED DIABETES EDUCAT

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