Provider Demographics
NPI:1467459834
Name:POWERS, KAREN A (FNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:POWERS
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 1:5800 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MO
Mailing Address - Zip Code:63471-2032
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3536 W GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-8395
Practice Address - Country:US
Practice Address - Phone:480-618-0177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN102335363LF0000X
AZAP0689363LF0000X
IL209009376363LF0000X
MO2019005041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1Z5419OtherHEALTHNET
AZ431825Medicaid
AZ500013456OtherRAILROAD MEDICARE
AZ500013456OtherRAILROAD MEDICARE
AZS57216Medicare UPIN
AZ431825Medicaid