Mallory Powell, CPNP-PC
NPI #1417787631 in Liberty Hill, Texas
Provider Information
- NPI Number
- 1417787631
- Entity Type
- Individual
- Name
- Mallory Powell, CPNP-PC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CPNP-PC
- Enumeration Date
- Aug 2, 2024
- Last Updated
- Aug 2, 2024
Practice Location
- Address
- 12661 W STATE HIGHWAY 29
- City
- Liberty Hill
- State
- Texas
- ZIP Code
- 78642-4729
- Phone
- (512) 778-5111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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