MEDICARE: JOY LESLIE HOWARD RN

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	163W00000X	Registered Nurse	RN.366275	OH

General Provider Information

NPI Number	:	1174826408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY LESLIE HOWARD RN

Provider Business Mailing Address
First Line	:	3957 BUSHNELL RD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3113
Country	:	US
Telephone Number	:	216-246-3834
Fax Number	:	216-371-3911

Provider Business Practice Location Address
First Line	:	3957 BUSHNELL RD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3113
Country	:	US
Telephone Number	:	216-246-3834
Fax Number	:	216-371-3911

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

Provider Enumeration Date	:	12/08/2010
Last Update Date	:	12/08/2010

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