Provider Demographics
NPI:1376883538
Name:HOWARD, HEATHER R (FNP)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:R
Last Name:HOWARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-0251
Mailing Address - Country:US
Mailing Address - Phone:740-970-0590
Mailing Address - Fax:
Practice Address - Street 1:621 E 5TH ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-1505
Practice Address - Country:US
Practice Address - Phone:740-947-8610
Practice Address - Fax:740-947-8680
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA13952NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCOA13952NPOtherNURSING LICENSE