Individual provider · Type 1 NPI

Vance Daly Powell Iii, RN, BSN, NP-C

Nurse Practitioner · St. Clair Shores, MI

NPI number 1992180491 Active

Practice location

23715 Little Mack Ave Ste 100
St. Clair Shores, MI 48080-1181

Call (586) 447-8021 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4704283371 (MI)
Nurse Practitioner Primary 363L00000X4704283371 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992180491

Vance Daly Powell Iii, RN, BSN, NP-C's National Provider Identifier is 1992180491, issued on Jul 25, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Aug 25, 2026.