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NPI Code Detail

MEDICARE: KIMBERLY ANISE POWERS RN, MSN, FNP

MEDICARE: KIMBERLY ANISE POWERS RN, MSN, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP111182TX
2363LF0000XFamily Nurse Practitioner278405MA

General Provider Information

NPI Number : 1417949041
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANISE POWERS RN, MSN, FNP
Provider Business Mailing Address
First Line : 1707 CORAL DR
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-3542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W 38TH ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-1006
Country : US
Telephone Number : 512-681-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 06/12/2023

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