Provider Demographics
NPI:1881652303
Name:POWERS, ANN M (PNP)
Entity Type:Individual
Prefix:MISS
First Name:ANN
Middle Name:M
Last Name:POWERS
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Gender:F
Credentials:PNP
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Mailing Address - Street 1:110 LONG POND RD STE 211
Mailing Address - Street 2:LONG POND PEDIATRICS OSTEOPATHY PC
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360
Mailing Address - Country:US
Mailing Address - Phone:508-747-1663
Mailing Address - Fax:508-747-5581
Practice Address - Street 1:110 LONG POND RD STE 211
Practice Address - Street 2:LONG POND PEDIATRICS OSTEOPATHY PC
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-747-1663
Practice Address - Fax:508-747-5581
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA166198208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics