MEDICARE: KAREN E POWDRELL LVN

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	2080P0008X	Pediatric Neurodevelopmental Disabilities Physician	885919	NV

General Provider Information

NPI Number	:	1538974357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN E POWDRELL LVN

Provider Business Mailing Address
First Line	:	1055 E TROPICANA AVE UNIT 421D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6624
Country	:	US
Telephone Number	:	940-337-9657
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 E TROPICANA AVE UNIT 421D
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-6624
Country	:	US
Telephone Number	:	940-337-9657
Fax Number	:

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

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	02/10/2025

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