Provider Demographics
NPI:1063835437
Name:POWERS, FERLINDA
Entity Type:Individual
Prefix:
First Name:FERLINDA
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8879 NATIONAL RD
Mailing Address - Street 2:
Mailing Address - City:THORNVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43076-8337
Mailing Address - Country:US
Mailing Address - Phone:740-405-6385
Mailing Address - Fax:740-323-2460
Practice Address - Street 1:8879 NATIONAL RD
Practice Address - Street 2:
Practice Address - City:THORNVILLE
Practice Address - State:OH
Practice Address - Zip Code:43076-8337
Practice Address - Country:US
Practice Address - Phone:740-405-6385
Practice Address - Fax:740-323-2460
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-216246163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical