Provider Demographics
NPI:1487711313
Name:POWER, CARRIE E (APN, MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:E
Last Name:POWER
Suffix:
Gender:F
Credentials:APN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:391 EDGEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SPRING CREEK
Mailing Address - State:NV
Mailing Address - Zip Code:89815-5708
Mailing Address - Country:US
Mailing Address - Phone:775-778-9661
Mailing Address - Fax:
Practice Address - Street 1:1250 LAMOILLE HWY
Practice Address - Street 2:SUITE 413
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-4396
Practice Address - Country:US
Practice Address - Phone:775-738-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV111363LF0000X
AZ00279363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology