Healthcare Provider Details

I. General information

NPI: 1295657567
Provider Name (Legal Business Name): BRIA MARIE HOWARD LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

5102 OAT FIELDS DR
MYRTLE BEACH SC
29588-3717
US

IV. Provider business mailing address

228 BERMUDA BAY DR APT 107
MYRTLE BEACH SC
29579-4656
US

V. Phone/Fax

Practice location:
  • Phone: 843-602-0760
  • Fax:
Mailing address:
  • Phone: 631-721-7089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number52979
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: