Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 12265 | OH |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN.299013 | OH |
Y | 363LP2300X | Nurse Practitioner - Primary Care | COA.12265-NP | OH |
NPI | 1093004483 |
---|---|
Provider Name | Monique Howard |
First Address | Woonsocket, RI 02895-6146 |
Second Address | Hilliard, OH 43026-8129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2011 |
Last Update Date | 21/06/2021 |