Powell, Thomas M

Powell, Thomas M is an individual health care provider with primary practice located at 3850 Park Nicollet Blvd , St Louis Park MN 55416-2527. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Powell, Thomas M can be contacted via phone (952) 993-3400.

Contact Information

Primary practice address
3850 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R173337-6 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 633535 Texas

Profile Details

NPI number 1972574879
LBN Legal business name Powell, Thomas M
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 17th, 2021 - about 5 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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