Individual provider · Type 1 NPI

Tanya Lynette Powers, AGNP-BC

Gerontology Nurse Practitioner · Charleston, WV

NPI number 1760105589 Active

Practice location

1306 Kanawha Blvd E
Charleston, WV 25301-3001

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X114490 (WV)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1760105589

Tanya Lynette Powers, AGNP-BC's National Provider Identifier is 1760105589, issued on Sep 26, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Charleston, WV. The record was last updated on Aug 4, 2026.