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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIDWINA WANGSADIPURA POWERS, PA-C

Active

LIDWINA WANGSADIPURA POWERS, PA-C is a Physician Assistant healthcare provider located in JONESBORO, Arkansas. NPI 1124355623 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JONESBORO, AR

Registration Details

NPI Number
1124355623
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2009 (16.630335026895 yrs)
Last Updated
Jul 25, 2024
Licenses
PA-753 (AR)
PA20529 (CA)

Practice Information

Address
5510 SOUTHWEST DR STE 11-12
JONESBORO, AR, 724048351
Browse AR providers · Browse ZIP 72404
Phone
8706414471
Fax
8702067068
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in JONESBORO, AR

Name Credential NPI
MRS. MISTY L SHATLEY P.A.-C 1790732493
MICHELLE WINGO P.A. 1477749992
MRS. CARLA J NIX PA-C 1164656294
ALLISON D BILLINGS PA-C 1396041901
MRS. CRYSTAL G WATSON PA 1487944583
MICHAEL SCOTT GRIFFITH PA 1588903603
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.