MEDICARE: EMILY KAY HOWELL RN,BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	134741	WI

General Provider Information

NPI Number	:	1568014389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY KAY HOWELL RN,BSN

Provider Business Mailing Address
First Line	:	S4659 THOMPSON RD
Second Line	:
City	:	LA FARGE
State	:	WI
Zip	:	54639-8512
Country	:	US
Telephone Number	:	608-469-0737
Fax Number	:

Provider Business Practice Location Address
First Line	:	S4659 THOMPSON RD
Second Line	:
City	:	LA FARGE
State	:	WI
Zip	:	54639-8512
Country	:	US
Telephone Number	:	608-469-0737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	07/11/2019

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