Healthcare Provider Details

I. General information

NPI: 1629338371
Provider Name (Legal Business Name): NATALIE POWELL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2012
Last Update Date: 05/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8054 DARROW RD BLDG D SUITE 1
TWINSBURG OH
44087-2381
US

IV. Provider business mailing address

PO BOX 640
CUYAHOGA FALLS OH
44222-0640
US

V. Phone/Fax

Practice location:
  • Phone: 330-425-1485
  • Fax: 330-405-7960
Mailing address:
  • Phone: 330-425-1485
  • Fax: 330-405-7960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN360099
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: