Shirley Lucille Powell in Redding - Medical
Shirley Lucille Powell - NPI 1134222169
Shirley Lucille Powell is a Medical in Redding, California. Shirley Lucille Powell practices all healthcare services and medical treatments related to Medical. The NPI Number for Shirley Lucille Powell is 1134222169. The last update date is 2023-03-07.
Shirley Lucille Powell's current location address is 2510 Airpark Dr Ste 104, Redding, California. You can contact this provider via phone number 5302423570 and fax number 5302423572. The mailing address for Shirley Lucille Powell is 2510 Airpark Dr Ste 104, Redding, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shirley Lucille Powell |
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Address | 2510 Airpark Dr Ste 104, Redding, California |
Phone Number | 5302423570 |
Fax Number | 5302423572 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1134222169 |
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Provider Enumeration Date | 2006-09-06 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 2510 Airpark Dr Ste 104 |
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City | Redding |
State | California (CA) |
Post Code | 960012461 |
Phone Number | 5302423570 |
Fax Number | 5302423572 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | 16701 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9315405 | CERTIFIED DIABETES EDUCAT | ||
16701 | CA | PHYSICIAN ASSISTANT | |
672043 | REGISTERED DIETITIAN |
Post Comment/ Review Below
What is the Shirley Lucille Powell's unique identification number?
The Shirley Lucille Powell has been assigned the NPI (National Provider Identifier) Number 1134222169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Shirley Lucille Powell is physically located?
The Shirley Lucille Powell is physically situated at the following address: 2510 Airpark Dr Ste 104, Redding, CA, 960012461.
What is the area of specialization for Shirley Lucille Powell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shirley Lucille Powell is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134222169 to Shirley Lucille Powell?
The Shirley Lucille Powell received its 1134222169 assignment from the Centers for Medicare & Medicaid Services on 2006-09-06.
As of what date was the information regarding Shirley Lucille Powell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shirley Lucille Powell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.