Provider Demographics
NPI:1750029799
Name:POWELL, EMILY SARAH (APRN)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:SARAH
Last Name:POWELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2349 INDIAN KEY DR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34691-7812
Mailing Address - Country:US
Mailing Address - Phone:727-488-7683
Mailing Address - Fax:
Practice Address - Street 1:5500 LITTLE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1105
Practice Address - Country:US
Practice Address - Phone:727-372-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9388961363LF0000X
FLAPRN11019157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily