Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0101X | MOHS-Micrographic Surgeon | 35.129344 | OH |
Y | 207ND0101X | MOHS-Micrographic Surgeon | ME114420 | FL |
NPI | 1275854614 |
---|---|
Provider Name | Nicole Marie Howe |
First Address | Lutz, FL 33548-4535 |
Second Address | Lutz, FL 33548-4535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
108828000 | (05) | FL |