Provider Demographics
NPI:1144428558
Name:HOWARD, ESMERALDA LORNA (C-NP)
Entity Type:Individual
Prefix:MRS
First Name:ESMERALDA
Middle Name:LORNA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:C-NP
Other - Prefix:MRS
Other - First Name:ESMERALDA
Other - Middle Name:LORNA
Other - Last Name:LAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2140 HALL JOHNSON RD # 102-124
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-8753
Mailing Address - Country:US
Mailing Address - Phone:310-714-0825
Mailing Address - Fax:
Practice Address - Street 1:1350 S MAIN ST
Practice Address - Street 2:SUITE # 3200
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-7611
Practice Address - Country:US
Practice Address - Phone:817-702-3925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125746363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner