=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396542908
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARRIEL LAVENA POWELL RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/01/2025
-----------------------------------------------------
Last Update Date | 03/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 41 S ROBERT ST
-----------------------------------------------------
City | SEWAREN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07077-1311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-877-3618
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 41 S ROBERT ST
-----------------------------------------------------
City | SEWAREN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07077-1311
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-877-3618
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 960729
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 26NR26493400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------