MEDICARE: MRS. ESMERALDA LORNA HOWARD C-N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP125746	TX

General Provider Information

NPI Number	:	1144428558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ESMERALDA LORNA HOWARD C-N.P.

Provider Business Mailing Address
First Line	:	2140 HALL JOHNSON RD # 102-124
Second Line	:
City	:	GRAPEVINE
State	:	TX
Zip	:	76051-8753
Country	:	US
Telephone Number	:	310-714-0825
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 S MAIN ST
Second Line	:	SUITE # 3200
City	:	FORT WORTH
State	:	TX
Zip	:	76104-7611
Country	:	US
Telephone Number	:	817-702-3925
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	04/01/2022

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