Provider Demographics
NPI:1396042685
Name:ASH HOWELL, WILLI L
Entity Type:Individual
Prefix:
First Name:WILLI
Middle Name:L
Last Name:ASH HOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:WILLI
Other - Middle Name:L
Other - Last Name:ASH HOWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN BA
Mailing Address - Street 1:749 BIRCHWOOD LN SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-5123
Mailing Address - Country:US
Mailing Address - Phone:404-285-0893
Mailing Address - Fax:770-436-6026
Practice Address - Street 1:749 BIRCHWOOD LN SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-5123
Practice Address - Country:US
Practice Address - Phone:404-285-0893
Practice Address - Fax:770-436-6026
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN026362164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse