Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3006506 | KY |
N | 363LW0102X | Nurse Practitioner - Women's Health | 6506P | KY |
NPI | 1073824322 |
---|---|
Provider Name | Carman Beth Howard |
First Address | Corbin, KY 40701-2735 |
Second Address | Corbin, KY 40701-2796 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 06/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100130550 | (05) | KY |