MEDICARE: KAREN A POWERS 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
1	363LF0000X	Family Nurse Practitioner	209009376	IL
2	363LF0000X	Family Nurse Practitioner	RN102335	AZ
3	363LF0000X	Family Nurse Practitioner	2019005041	MO
4	363LF0000X	Family Nurse Practitioner	AP0689	AZ
5	363LF0000X	Family Nurse Practitioner	18232-33	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	500013456	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1Z5419	OTHER	AZ	HEALTHNET
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467459834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN A POWERS FNP

Provider Business Mailing Address
First Line	:	5800 HIGHWAY 6
Second Line	:
City	:	TAYLOR
State	:	MO
Zip	:	63471-2032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3536 W GLENDALE AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-8395
Country	:	US
Telephone Number	:	480-618-0177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	05/05/2026

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Directions to “ KAREN A POWERS FNP” Practice Location

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