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NPI Code Detail

MEDICARE: TANYA LYNETTE POWERS AGNP-BC

MEDICARE: TANYA LYNETTE POWERS AGNP-BC
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
1363LG0600XGerontology Nurse Practitioner114490WV

General Provider Information

NPI Number : 1760105589
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANYA LYNETTE POWERS AGNP-BC
Provider Business Mailing Address
First Line : 1100 GROSSCUP AVE
Second Line :
City : DUNBAR
State : WV
Zip : 25064-3120
Country : US
Telephone Number : 304-768-8811
Fax Number : 304-768-4072
Provider Business Practice Location Address
First Line : 1100 GROSSCUP AVE
Second Line :
City : DUNBAR
State : WV
Zip : 25064-3120
Country : US
Telephone Number : 304-768-8811
Fax Number : 304-768-4072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2022
Last Update Date : 12/11/2025

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Directions to “ TANYA LYNETTE POWERS AGNP-BC” Practice Location

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