Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 024419 | OH |
NPI | 1033675962 |
---|---|
Provider Name | Mrs. Savana Len Howard |
First Address | Springfield, OH 45502-9738 |
Second Address | Dayton, OH 45404-1873 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2019 |
Last Update Date | 22/06/2019 |