Healthcare Provider Details

I. General information

NPI: 1265608798
Provider Name (Legal Business Name): DANA MARIE HOWERTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 01/13/2024
Certification Date: 01/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 SUMMERLON CIR
DODGE CITY KS
67801-2985
US

IV. Provider business mailing address

2201 SUMMERLON CIR
DODGE CITY KS
67801-2985
US

V. Phone/Fax

Practice location:
  • Phone: 620-225-7146
  • Fax: 620-225-2689
Mailing address:
  • Phone: 620-225-7146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13-90450-092
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number46207
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: