Provider Demographics
NPI:1043465792
Name:POWELL, BARBARA ANN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:POWELL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-369 HAIKU RD
Mailing Address - Street 2:APT. #F2
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4257
Mailing Address - Country:US
Mailing Address - Phone:808-387-3041
Mailing Address - Fax:
Practice Address - Street 1:46-369 HAIKU RD
Practice Address - Street 2:APT. #F2
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-4257
Practice Address - Country:US
Practice Address - Phone:808-387-3041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI44286163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management