Mrs. Renea L Powell
Nurse Practitioner - Neonatal
4311 Wesley St
Greenville
, Texas 75401-5639
Mrs. Renea L Powell
Nurse Practitioner - Neonatal
4311 Wesley St
Greenville
, Texas 75401-5639
(903) 454-4621
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Mrs. Renea L Powell
- Po Box 1908
- Greenville, TX
- Zip : 75403-1908
- Fax : (903) 454-4621
- Phone : (903) 455-5986
Second Address
- Mrs. Renea L Powell
- 4311 Wesley St
- Greenville, TX
- Zip : 75401-5639
- Fax : (903) 455-1604
- Phone : (903) 455-5958
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 687079 | TX |
National Provider Identifier
| NPI | 1104933134 |
|---|---|
| Provider Name | Mrs. Renea L Powell |
| First Address | Greenville, TX 75403-1908 |
| Second Address | Greenville, TX 75401-5639 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2006 |
| Last Update Date | 08/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 179237604 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.