Powell, Lisa Gail
Powell, Lisa Gail is an individual health care provider with primary practice located at 2580 Highway 95 #1250, Bullhead City AZ 86442-7491. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Powell, Lisa Gail can be contacted via phone (928) 763-7776.Contact Information
Primary practice address
2580 Highway 95 #1250
Bullhead City AZ 86442-7491
Phone: (928) 763-7776
Fax: (928) 763-7786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 75803 | Kansas |
Profile Details
| NPI number | 1831432731 |
|---|---|
| LBN Legal business name | Powell, Lisa Gail |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | Jul 27th, 2016 - about 10 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831432731 | NPPES |
| Kansas | Other | 75803 | KANSAS LICENSE |
| Kansas | MEDICAID | SBHS | KANSAS LICENSE |
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