Individual provider · Type 1 NPI
Mary Elizabeth Monticello Powell, APRN
Psychiatric/Mental Health Nurse Practitioner · Lake Wales, FL
NPI number
1972668754
Active
Practice location
410 S 11th St
Lake Wales, FL 33853-4203
Fax (863) 419-2540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5976 (CO) |
| Nurse Practitioner | 363L00000X | ARNP2085022 (FL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN2085022 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
43 other providers at this address
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Other psychiatric/mental health nurse practitioner providers in Lake Wales
About NPI 1972668754
Mary Elizabeth Monticello Powell, APRN's National Provider Identifier is 1972668754, issued on Dec 22, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lake Wales, FL. The record was last updated on Oct 20, 2020.