Provider Demographics
NPI:1083396147
Name:HOWELL, ALICIA ELENA
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:ELENA
Last Name:HOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 S WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-5122
Mailing Address - Country:US
Mailing Address - Phone:308-660-0611
Mailing Address - Fax:
Practice Address - Street 1:1600 N BUFFALO BILL AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-2041
Practice Address - Country:US
Practice Address - Phone:308-535-7130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider