Provider Demographics
NPI:1962856435
Name:POWELL, ANNE (FNP)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:POWELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 IRON BAR LN STE 100
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3612
Mailing Address - Country:US
Mailing Address - Phone:703-753-1200
Mailing Address - Fax:703-753-1118
Practice Address - Street 1:7500 IRON BAR LN STE 100
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3612
Practice Address - Country:US
Practice Address - Phone:703-753-1200
Practice Address - Fax:703-753-1118
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173442363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily