Provider Demographics
NPI:1366467557
Name:POWSNER, ALICE E (RNCS)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:E
Last Name:POWSNER
Suffix:
Gender:F
Credentials:RNCS
Other - Prefix:
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Mailing Address - Street 1:2128 SILVER AVE SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4010
Mailing Address - Country:US
Mailing Address - Phone:505-262-0112
Mailing Address - Fax:505-262-1695
Practice Address - Street 1:2128 SILVER AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4010
Practice Address - Country:US
Practice Address - Phone:505-262-0112
Practice Address - Fax:505-262-1695
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2010-07-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMR19773364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult