Moranda Mone'T Powell, RN
Registered Nurse in Shreveport, LA. Individual provider (NPI-1).
NPI number1164031043
StatusActive
Last updated in NPPESJul 28, 2020
Details
- NPI
- 1164031043
- Entity type
- Individual (NPI-1)
- Name
- Moranda Mone'T Powell
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2020
- Certification date
- Jul 28, 2020
- Last updated
- Jul 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN147886 | LA | Yes |
Practice location
3208 Hatcher RdShreveport, LA 71119-5334
Phone 318-799-4927
Mailing address
3208 Hatcher RdShreveport, LA 71119-5334
Phone 318-799-4927
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