Provider Demographics
NPI:1598241366
Name:HOWELL, STEPHANIE FAITH (APRN- FNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:FAITH
Last Name:HOWELL
Suffix:
Gender:F
Credentials:APRN- FNP
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:FAITH
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN-FNP
Mailing Address - Street 1:14408 CALEDONIA WAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-3145
Mailing Address - Country:US
Mailing Address - Phone:405-216-9112
Mailing Address - Fax:
Practice Address - Street 1:1001 E 18TH ST
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-2907
Practice Address - Country:US
Practice Address - Phone:918-786-2243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK69275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily