Healthcare Provider Details

I. General information

NPI: 1144867847
Provider Name (Legal Business Name): SARAH HOWARD RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 SOUTH BROADWAY, STE. 2
MINOT ND
58701
US

IV. Provider business mailing address

P.O. BOX 5020
MINOT ND
58702
US

V. Phone/Fax

Practice location:
  • Phone: 701-857-5268
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberR42238
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: