Healthcare Provider Details
I. General information
NPI: 1245421478
Provider Name (Legal Business Name): DONNA M HOWARD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/05/2007
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8175 NW 12TH ST STE 306
DORAL FL
33126-1828
US
IV. Provider business mailing address
8175 NW 12TH ST STE 306
DORAL FL
33126-1828
US
V. Phone/Fax
- Phone: 786-845-0164
- Fax: 305-470-5846
- Phone: 786-845-0164
- Fax: 305-470-5846
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | ARNP9162434 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | ARNP9162434 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: