Healthcare Provider Details

I. General information

NPI: 1801867809
Provider Name (Legal Business Name): LORETTA AGNES HOWERTON REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 827 BOX 23
FPO AE
09617
IT

IV. Provider business mailing address

PSC 827 BOX 23
FP0 AE
09617
IT

V. Phone/Fax

Practice location:
  • Phone: 0818116296417
  • Fax:
Mailing address:
  • Phone: 0818116296417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number535100
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: