Individual provider · Type 1 NPI
Tracy Elaine Powell, CANP
Adult Health Nurse Practitioner · Atlanta, GA
NPI number
1295853174
Active
Practice location
1365B Clifton Rd NE, SUITE1400
Atlanta, GA 30322-1013
Fax (404) 778-4006
Mailing address
102 Carolinas Way
Fayetteville, GA 30215-8022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | R092714 (GA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1295853174
Tracy Elaine Powell, CANP's National Provider Identifier is 1295853174, issued on Mar 27, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.