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NPI Code Detail

MEDICARE: PHILIP JOHN POWERS CRNA

MEDICARE: PHILIP JOHN POWERS CRNA
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
1367500000XCertified Registered Nurse Anesthetist100529NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1277098OTHERNECOVENTRY
24029OTHERNEMIDLANDS
3430025409OTHERNERAILROAD

General Provider Information

NPI Number : 1447363635
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP JOHN POWERS CRNA
Provider Business Mailing Address
First Line : PO BOX 1800
Second Line :
City : COLUMBUS
State : NE
Zip : 68602-1800
Country : US
Telephone Number : 402-564-7118
Fax Number : 402-562-3378
Provider Business Practice Location Address
First Line : 4600 38TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-1664
Country : US
Telephone Number : 402-564-7118
Fax Number : 402-562-3378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 09/05/2013

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