Most Relevant Information
Provider Data
| NPI Number: | 1003635400 |
| Provider Name: | SHANDA M POWELL FNB-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP030833 |
Most Important Dates
| Enumeration Date: | 10/03/2024 |
| Last Updated: | 10/03/2024 |
Provider Practice Location
655 HERSHEY RD
HUMMELSTOWN
PA
170369243
Practice Location Phone/Fax
| Phone: | 7175663796 |
| Fax: |
Provider Mailing Location
256 QUARRY RD
HUMMELSTOWN
PA
170368902
Provider Mailing Phone/Fax
| Phone: | 7173191908 |
| Fax: |