Individual provider · Type 1 NPI
Tracie Powell, RN
Community Health Registered Nurse · Pauline, SC
NPI number
1104589175
Active
Practice location
124 Miller Town Rd
Pauline, SC 29374-2322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 205571 (SC) |
Community Health Registered Nurse: Definition to come...
About NPI 1104589175
Tracie Powell, RN's National Provider Identifier is 1104589175, issued on Oct 18, 2021. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Pauline, SC. The record was last updated on Oct 18, 2021.