Provider Demographics
NPI:1619151255
Name:HOWARD, LAURA A (APN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:HOWARD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 22ND AVE N
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1852
Mailing Address - Country:US
Mailing Address - Phone:629-255-3486
Mailing Address - Fax:
Practice Address - Street 1:2339 HILLSBORO RD
Practice Address - Street 2:STE 100
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-6242
Practice Address - Country:US
Practice Address - Phone:629-255-2137
Practice Address - Fax:629-255-4077
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13149363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1512001Medicaid
TN3342485Medicare PIN