Provider Demographics
NPI:1811375710
Name:POWESKA, URSZULA (APN)
Entity Type:Individual
Prefix:MRS
First Name:URSZULA
Middle Name:
Last Name:POWESKA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 VAN DYKE ST
Mailing Address - Street 2:
Mailing Address - City:WALLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07057-2214
Mailing Address - Country:US
Mailing Address - Phone:201-951-4820
Mailing Address - Fax:
Practice Address - Street 1:7 VAN DYKE ST
Practice Address - Street 2:
Practice Address - City:WALLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07057-2214
Practice Address - Country:US
Practice Address - Phone:201-951-4820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00568500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner