Provider Demographics
NPI:1811799687
Name:POWELL, TANYA MESS (APRN)
Entity type:Individual
Prefix:MS
First Name:TANYA
Middle Name:MESS
Last Name:POWELL
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Gender:
Credentials:APRN
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Mailing Address - Street 1:245 CITRUS TOWER BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-1907
Mailing Address - Country:US
Mailing Address - Phone:352-708-3021
Mailing Address - Fax:352-708-6153
Practice Address - Street 1:245 CITRUS TOWER BLVD STE 201
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1907
Practice Address - Country:US
Practice Address - Phone:352-708-3021
Practice Address - Fax:352-708-6153
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11034652363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner