MEDICARE: MRS. DANA MARIE HOWERTON APRN

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	363LP2300X	Primary Care Nurse Practitioner	46207	KS
2	363LF0000X	Family Nurse Practitioner	13-90450-092	KS

General Provider Information

NPI Number	:	1265608798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA MARIE HOWERTON APRN

Provider Business Mailing Address
First Line	:	2201 SUMMERLON CIR
Second Line	:
City	:	DODGE CITY
State	:	KS
Zip	:	67801-2985
Country	:	US
Telephone Number	:	620-225-7146
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 SUMMERLON CIR
Second Line	:
City	:	DODGE CITY
State	:	KS
Zip	:	67801-2985
Country	:	US
Telephone Number	:	620-225-7146
Fax Number	:	620-225-2689

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

Provider Enumeration Date	:	05/05/2008
Last Update Date	:	01/13/2024

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