ERICA HUMPHREY POWELL

TAVARES, FL
NPI1447600184
Former NameERICA MICHELLE HUMPHREY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  9366265)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  110372)
Enumeration Date2016-06-14
Last Update Date2016-07-26
Business Address
ERICA HUMPHREY POWELL CRNA
1000 WATERMAN WAY
TAVARES, FL 32778-5266
Phone number: 321-422-7156
Mailing Address
ERICA HUMPHREY POWELL CRNA
5746 ANSLEY WAY
MOUNT DORA, FL 32757-8002
Phone number: