Individual provider · Type 1 NPI
Stephen Powell
Psychiatric/Mental Health Nurse Practitioner · Modesto, CA
NPI number
1073154324
Active
Practice location
1235 Mchenry Ave
Modesto, CA 95350-5370
Mailing address
1343 W Main St
Merced, CA 95340-4438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95039756 (CA) |
| Licensed Vocational Nurse | 164X00000X | VN706017 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073154324
Stephen Powell's National Provider Identifier is 1073154324, issued on Oct 7, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Modesto, CA. The record was last updated on Oct 27, 2026.