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NPI Code Detail

MEDICARE: JENNIFER L HOWERTON

MEDICARE: JENNIFER L HOWERTON
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
1367500000XCertified Registered Nurse AnesthetistCOA12171-NAOH

General Provider Information

NPI Number : 1245537117
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L HOWERTON
Provider Business Mailing Address
First Line : 121 STONEGATE CIR
Second Line :
City : SEVEN HILLS
State : OH
Zip : 44131-2416
Country : US
Telephone Number : 724-388-3465
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-0261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2011
Last Update Date : 02/11/2011

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