MEDICARE: ALLISON POWERS

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	163WE0003X	Emergency Registered Nurse	28289577A	IN

General Provider Information

NPI Number	:	1962369298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON POWERS

Provider Business Mailing Address
First Line	:	3337 NEWHAVEN DR APT B
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47909-3939
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5165 MCCARTY LN
Second Line	:
City	:	LAFAYETTE
State	:	IN
Zip	:	47905-8764
Country	:	US
Telephone Number	:	765-448-8000
Fax Number	:

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

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ ALLISON POWERS ” Practice Location

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