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General NPI Number Information
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NPI Number | 1356827554
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Entity Type | Individual
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Provider Name | MAUREEN A POWELL
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Gender | Female
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 4535 NW 6TH CT
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City | DELRAY BEACH
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State | FL
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Zip | 33445-2179
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Country | US
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Telephone | 561-706-6624
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Fax | 561-431-2791
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Provider Business Mailing Address
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Address Line | 500 KIRTS BLVD STE 100
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City | TROY
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State | MI
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Zip | 48084-4135
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Country | US
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Telephone | 248-434-6169
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Fax | 855-618-6655
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | FNP1812182
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License Number State | FL
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