Individual provider · Type 1 NPI

Wanda Fanice Powers, PA-C

Medical Physician Assistant · Tampa, FL

NPI number 1063453629 Active

Practice location

12902 Usf Magnolia Dr
Tampa, FL 33612-9416

Call (813) 745-6019 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA052381 (PA)
Medical Physician Assistant Primary 363AM0700XPA9109368 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1063453629

Wanda Fanice Powers, PA-C's National Provider Identifier is 1063453629, issued on Jun 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tampa, FL. The record was last updated on May 12, 2016.