Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 1-112601 | AL |
NPI | 1184049900 |
---|---|
Provider Name | Erika Pierce Powell |
First Address | Vance, AL 35490-2565 |
Second Address | Northport, AL 35476-3360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2014 |
Last Update Date | 03/03/2014 |