Provider Demographics
NPI:1568014389
Name:HOWELL, EMILY KAY (RN,BSN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KAY
Last Name:HOWELL
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:MOORE, GABRIEL AND BURKHOLDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,BSN
Mailing Address - Street 1:S4659 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:LA FARGE
Mailing Address - State:WI
Mailing Address - Zip Code:54639-8512
Mailing Address - Country:US
Mailing Address - Phone:608-469-0737
Mailing Address - Fax:
Practice Address - Street 1:S4659 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:LA FARGE
Practice Address - State:WI
Practice Address - Zip Code:54639-8512
Practice Address - Country:US
Practice Address - Phone:608-469-0737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI134741163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse