Provider Demographics
NPI:1568630994
Name:HOWARD, SHARON KIELY (APRN CNS BC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:KIELY
Last Name:HOWARD
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Gender:F
Credentials:APRN CNS BC
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Mailing Address - Street 1:900 6TH ST SW
Mailing Address - Street 2:SUITE #2
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-3207
Mailing Address - Country:US
Mailing Address - Phone:406-727-3242
Mailing Address - Fax:406-727-3161
Practice Address - Street 1:900 6TH ST SW
Practice Address - Street 2:SUITE #2
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-3207
Practice Address - Country:US
Practice Address - Phone:406-727-3242
Practice Address - Fax:406-727-3161
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT10355364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT9972319Medicaid
MT011002498OtherPTAN