Provider Demographics
NPI:1194872770
Name:POWLEN, ANGELA ROSE (PA)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:ROSE
Last Name:POWLEN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:110 SUTTER ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4002
Mailing Address - Country:US
Mailing Address - Phone:415-291-0480
Mailing Address - Fax:415-201-0489
Practice Address - Street 1:110 SUTTER ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-4002
Practice Address - Country:US
Practice Address - Phone:415-291-0480
Practice Address - Fax:415-201-0489
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2013-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA 14383363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant