Healthcare Provider Details

I. General information

NPI: 1134087141
Provider Name (Legal Business Name): NAOMI MARIE POWERS CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 ALDERMAN LN
FROSTPROOF FL
33843-9714
US

IV. Provider business mailing address

151 ALDERMAN LN
FROSTPROOF FL
33843-9714
US

V. Phone/Fax

Practice location:
  • Phone: 863-399-4698
  • Fax:
Mailing address:
  • Phone: 863-399-4698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number25R-CPT1419
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberCNA454657
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: