Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 3007441 | KY |
NPI | 1043570328 |
---|---|
Provider Name | Misty H Powers |
First Address | Owensboro, KY 42303-1320 |
Second Address | Owensboro, KY 42303-1320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2012 |
Last Update Date | 17/03/2018 |