Provider Demographics
NPI:1003039710
Name:DAWNDREA HOWARD
Entity Type:Organization
Organization Name:DAWNDREA HOWARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:DAWNDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:937-837-4821
Mailing Address - Street 1:221 FIELDSTONE DR
Mailing Address - Street 2:#10
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-6816
Mailing Address - Country:US
Mailing Address - Phone:937-837-4821
Mailing Address - Fax:
Practice Address - Street 1:221 FIELDSTONE DR
Practice Address - Street 2:#10
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-6816
Practice Address - Country:US
Practice Address - Phone:937-837-4821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH112577164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty