Wanda F. Powers PA-C - Medical Physician Assistant in Tampa, Florida | ProviderWire

Full Name

Wanda Fanice Powers PA-C

NPI Number

1063453629

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/08/2006

Specialties

(Taxonomies)

Name

Medical Physician Assistant

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

Pennsylvania

License Number

PA9109368

MA052381

Contact
Information

Purpose

Mailing

Location

Address

12902 USF MAGNOLIA DR

12902 USF MAGNOLIA DR

City

Tampa

Tampa

State

FL

FL

Postal Code

33612-9416

33612-9416

Country

US

US

Telephone Number

(813) 745-6019

(813) 745-6019

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/12/2016

Provider Address

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