Healthcare Provider Details

I. General information

NPI: 1619161205
Provider Name (Legal Business Name): BRONWYN L HOWARD APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 W MAIN ST
STROUD OK
74079-3611
US

IV. Provider business mailing address

309 W MAIN ST
STROUD OK
74079-3611
US

V. Phone/Fax

Practice location:
  • Phone: 918-987-0067
  • Fax: 918-987-0070
Mailing address:
  • Phone: 918-987-0067
  • Fax: 918-987-0070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR0052024
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: