WANDA FANICE POWERS PA-C NPI 1063453629

NPI Information

NPI: 1063453629
Provider Name: WANDA FANICE POWERS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
12902 USF MAGNOLIA DR
TAMPA, FL
ZIP 33612
Phone: (813) 745-6019
Get Directions

Wanda Fanice Powers, PA-C is a medical physician assistant in Tampa, FL with 19 years of experience. Wanda Fanice Powers, PA-C NPI is 1063453629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12902 USF MAGNOLIA DR
TAMPA, FL
ZIP 33612-416
Phone: (813) 745-6019

The NPI 1063453629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 5/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA052381	PENNSYLVANIA	No
2	363AM0700X	Physician Assistant	Medical	PA9109368	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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