Doctor Name: | MRS. TAMARA FAITH HOWARD |
NPI Number: | 1053784637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | COA.1837-NP |
Business Practice Address: | 200 Smokerise Dr Ste 100 Wadsworth, OH - 442819499 |
Business Phone Number: | 3305900847 |
Business Fax Number: | 2342017644 |
Mailing Address: | 200 Smokerise Dr Ste 100, WADSWORTH |
State: | OH |
Postal Code: | 442819499 |
Phone Number: | 3303219926 |
Fax Number: | 2342017644 |
NPI Enumeration Date: | 11/04/2015 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | COA.1837-NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |