Vincent Lamarr Powell Jr, FNP | |
2275 F St Ste 1&2, Livingston, CA 95334-1778 | |
(209) 394-8854 | |
(209) 394-8895 |
Full Name | Vincent Lamarr Powell Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 2275 F St Ste 1&2, Livingston, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063633758 | NPI | - | NPPES |
95003492 | Other | CA | FNP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0705X | Registered Nurse - Medical-surgical | RN281973 (Ohio) | Secondary |
363L00000X | Nurse Practitioner | 95003522 (California) | Primary |
Entity Name | Daryl R Dutter Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992025332 PECOS PAC ID: 7719001601 Enrollment ID: O20100830000435 |
Mailing Address | Practice Location Address |
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Vincent Lamarr Powell Jr, FNP Po Box 210, Ripon, CA 95366-0210 Ph: (209) 599-4211 | Vincent Lamarr Powell Jr, FNP 2275 F St Ste 1&2, Livingston, CA 95334-1778 Ph: (209) 394-8854 |
Stephanie Castillo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-1325 | |
Kevin Maurice Mcgauley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Livingston Community Health, 1140 Main Street, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-1337 | |
Mahvash Roya Soltani, NP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 B St, Livingston, CA 95334 Phone: 883-850-3500 | |
Lakhbir Bikramjit Singh Sodhi, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2275 F St Ste 1&2, Livingston, CA 95334 Phone: 209-394-3800 Fax: 209-394-3803 | |
Mrs. Amandeep Kaur Johal, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 | |
Melinda Edmondson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1140 Main St, Livingston, CA 95334 Phone: 209-394-7913 Fax: 209-394-9093 | |
Gabrielle M L Amis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 B St, Livingston, CA 95334 Phone: 209-850-3500 |