person
Fred M Powell, CRNP
Family Nurse Practitioner in Bentleyville, Pennsylvania
NPI 1730637794

Fred M Powell is a Family Nurse Practitioner based in Fredericktown, PA and is specialized in Family. Fred M Powell practices in Bentleyville, PA and has the professional credentials of CRNP. The NPI Number for Fred M Powell is 1730637794 and holds a License No. SP016579 (Pennsylvania).

The current practice location address for Fred M Powell is 100 Wilson Rd, Bentleyville, PA and can be reached out via phone at 724-239-2390 and via fax at 724-239-2393.

Location: 100 Wilson Rd, Bentleyville, PA, 15333-2114
person
Provider Profile Details
NPI Number
1730637794
Provider Name
Fred M Powell
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
100 Wilson Rd, Bentleyville, PA, 15333-2114
Phone Number
724-239-2390
Fax Number
724-239-2393
Provider Enumeration Date
09/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014582 01 PA CAMP HILL MEDICARE
391827 01 PA FQHC
391812 01 PA FQHC
1007288440030 05 PA
1007288440027 05 PA
1007288440104 05 PA
391809 01 PA FQHC
1007288440105 05 PA
391902 01 PA FQHC
institution
Provider Business Practice Location Address Details
Address
100 Wilson Rd
City
State
Zip
15314-1028
Phone Number
724-239-2390
Fax Number
724-239-2393
person
Provider Business Mailing Address Details
Address
100 Wilson Rd
City
State
Zip
15314-1028
Phone Number
724-239-2390
Fax Number
724-239-2393
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP016579 (Pennsylvania)
Definition
Definition to come...
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