Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP134684 | TX |
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP134684 | TX |
NPI | 1043734189 |
---|---|
Provider Name | Ashley Marie Wilson Howell |
First Address | Dallas, TX 75208-2312 |
Second Address | Dallas, TX 75208-2312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2017 |
Last Update Date | 28/10/2019 |