Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | COA.1837-NP | OH |
N | 363LG0600X | Nurse Practitioner - Gerontology | COA.1837-NP | OH |
Y | 363LP2300X | Nurse Practitioner - Primary Care | COA.1837-NP | OH |
NPI | 1053784637 |
---|---|
Provider Name | Mrs. Tamara Faith Howard |
First Address | Wadsworth, OH 44281-9499 |
Second Address | Wadsworth, OH 44281-9499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2015 |
Last Update Date | 04/11/2015 |