Powell, Mary V

Powell, Mary V is an individual health care provider with primary practice located at 289 W Huntington Dr Ste 205 , Arcadia CA 91007-3492. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Administrator, Nursing Service Providers / Ambulatory Care, Nursing Service Providers / Infusion Therapy. Nursing Service Providers / Administrator is her primary health care specialty. Powell, Mary V can be contacted via phone (626) 353-8531.

Contact Information

Primary practice address
289 W Huntington Dr Ste 205 Arcadia CA 91007-3492
Phone: (626) 353-8531
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 542206 California
Nursing Service Providers / Ambulatory Care 163WP2201X 542206 California
Nursing Service Providers / Infusion Therapy 163WI0500X 542206 California

Profile Details

NPI number 1740264779
LBN Legal business name Powell, Mary V
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 17th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740264779 NPPES
Arizona MEDICAID 479594
Arizona Other 430079592

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