Doctor Name: | MRS. SANDRA L HOWARD |
NPI Number: | 1184010340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | ATP-000766 |
Business Practice Address: | 1309 W Main St Walnut Ridge, AR - 724761430 |
Business Phone Number: | 8708863211 |
Business Fax Number: | 8708869027 |
Mailing Address: | Po Box 839, WALNUT RIDGE |
State: | AR |
Postal Code: | 724760839 |
Phone Number: | 8708863211 |
Fax Number: | 8708869027 |
NPI Enumeration Date: | 04/14/2015 |
NPI Last Update Date: | 07/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | ATP-000766 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |