Provider Demographics
NPI:1508518036
Name:HOWARD, NADINE LAYNETTE (LVN)
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:LAYNETTE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 AUSTIN HWY APT 6306
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-4976
Mailing Address - Country:US
Mailing Address - Phone:314-302-2513
Mailing Address - Fax:
Practice Address - Street 1:1111 AUSTIN HWY APT 6308
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-4976
Practice Address - Country:US
Practice Address - Phone:314-302-2513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX312904164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX36581958OtherDL
TX36581958OtherSTATE ID