MEDICARE: HEATHER MARIE HOWELL 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	163WC1500X	Community Health Registered Nurse	202108023RN	OR

General Provider Information

NPI Number	:	1952012981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER MARIE HOWELL RN

Provider Business Mailing Address
First Line	:	92231 APPLEGATE TRL
Second Line	:
City	:	JUNCTION CITY
State	:	OR
Zip	:	97448-9545
Country	:	US
Telephone Number	:	541-510-7090
Fax Number	:

Provider Business Practice Location Address
First Line	:	92231 APPLEGATE TRL
Second Line	:
City	:	JUNCTION CITY
State	:	OR
Zip	:	97448-9545
Country	:	US
Telephone Number	:	541-510-7090
Fax Number	:

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

Provider Enumeration Date	:	12/12/2022
Last Update Date	:	12/12/2022

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