Provider Demographics
NPI:1619859030
Name:POWELL, MARJORIE (CD (GEM))
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:POWELL
Suffix:
Gender:F
Credentials:CD (GEM)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 NW W HWY
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64061-9122
Mailing Address - Country:US
Mailing Address - Phone:509-795-0651
Mailing Address - Fax:
Practice Address - Street 1:629 NW W HWY
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:MO
Practice Address - Zip Code:64061-9122
Practice Address - Country:US
Practice Address - Phone:509-795-0651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula