Individual provider · Type 1 NPI

Thomas M. Powell, GNP

Gerontology Nurse Practitioner · St. Louis Park, MN

NPI number 1972574879 Active

Practice location

3850 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 6300 Highway 55, Golden Valley, MN 55427-4946 · (763) 797-2900

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR173337-6 (MN)
Gerontology Nurse Practitioner 363LG0600X633535 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1972574879

Thomas M. Powell, GNP's National Provider Identifier is 1972574879, issued on Jan 30, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 17, 2021.