Provider Demographics
NPI:1588304737
Name:POWELLS, CURTIS (RN)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:POWELLS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:CURTIS
Other - Middle Name:
Other - Last Name:POWELLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1486 S BUCHANAN CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6006
Mailing Address - Country:US
Mailing Address - Phone:303-990-6490
Mailing Address - Fax:
Practice Address - Street 1:8751 E HAMPDEN AVE STE C1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4930
Practice Address - Country:US
Practice Address - Phone:303-990-6490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO123645261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service