| Fred M Powell, CRNP | |
|
100 Wilson Rd, Bentleyville, PA 15314-1028 | |
| (724) 239-2390 | |
| (724) 239-2393 |
| Full Name | Fred M Powell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 100 Wilson Rd, Bentleyville, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730637794 | NPI | - | NPPES |
| 014582 | Other | PA | CAMP HILL MEDICARE |
| 391827 | Other | PA | FQHC |
| 391812 | Other | PA | FQHC |
| 1007288440030 | Medicaid | PA | |
| 1007288440027 | Medicaid | PA | |
| 1007288440104 | Medicaid | PA | |
| 391809 | Other | PA | FQHC |
| 1007288440105 | Medicaid | PA | |
| 391902 | Other | PA | FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP016579 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fred M Powell, CRNP 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Fred M Powell, CRNP 100 Wilson Rd, Bentleyville, PA 15314-1028 Ph: (724) 239-2390 |
Miss Samantha Louise Wulf, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 309 Russie Ave, Bentleyville, PA 15314 Phone: 724-884-3848 | |
Tammy Fendya, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 Wilson Rd, Mon Valley Hospital, Bentleyville, PA 15314 Phone: 724-489-0866 | |
Jessica Giordano, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Gosai Dr Ste 112, Bentleyville, PA 15314 Phone: 412-226-6399 |