MEDICARE: MS. KETURIAH NASHON HOWARD NP-C

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	363LF0000X	Family Nurse Practitioner	AP08727	LA

General Provider Information

NPI Number	:	1952759193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KETURIAH NASHON HOWARD NP-C

Provider Business Mailing Address
First Line	:	3907 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4363
Country	:	US
Telephone Number	:	225-376-6189
Fax Number	:	225-341-3988

Provider Business Practice Location Address
First Line	:	3907 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4363
Country	:	US
Telephone Number	:	225-376-6189
Fax Number	:	225-341-3988

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

Provider Enumeration Date	:	05/27/2016
Last Update Date	:	07/08/2022

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