Doctor Name: | BRONWYN L HOWARD |
NPI Number: | 1619161205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-CNP |
License Number: | R0052024 |
Business Practice Address: | 1025 E 2nd St Cushing, OK - 740234136 |
Business Phone Number: | 9182253627 |
Business Fax Number: | 9182251008 |
Mailing Address: | 1025 E 2nd St, CUSHING |
State: | OK |
Postal Code: | 740234136 |
Phone Number: | 9182253627 |
Fax Number: | 9182251008 |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R0052024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |