Provider Demographics
NPI:1003550369
Name:HOWARD, MICHELLE (APNP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PECAN 3
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:TX
Mailing Address - Zip Code:76527-4617
Mailing Address - Country:US
Mailing Address - Phone:414-559-6641
Mailing Address - Fax:
Practice Address - Street 1:THE DELANEY AT GEORGETOWN VILLAGE
Practice Address - Street 2:359 VILLAGES COMMONS BLVD
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-3007
Practice Address - Country:US
Practice Address - Phone:414-559-6641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-23
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1116324363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty