MEDICARE: KATHLEEN GRAHAM HOWARD CRNA

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	367500000X	Certified Registered Nurse Anesthetist	ARNP 2227332	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538106851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN GRAHAM HOWARD CRNA

Provider Business Mailing Address
First Line	:	1410 6TH ST SW
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-4818
Country	:	US
Telephone Number	:	305-332-3180
Fax Number	:	305-441-6587

Provider Business Practice Location Address
First Line	:	2843 S BAYSHORE DR APT 16C
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-6032
Country	:	US
Telephone Number	:	305-332-3180
Fax Number	:	305-441-6587

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	03/15/2023

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