Provider Demographics
NPI:1619477486
Name:HOWELL, DEBRA ANN (LVN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:HENDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:205 SKYCREST ST
Mailing Address - Street 2:
Mailing Address - City:BORGER
Mailing Address - State:TX
Mailing Address - Zip Code:79007-8229
Mailing Address - Country:US
Mailing Address - Phone:806-275-0708
Mailing Address - Fax:
Practice Address - Street 1:205 SKYCREST ST
Practice Address - Street 2:
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-8229
Practice Address - Country:US
Practice Address - Phone:806-275-0708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-17
Last Update Date:2018-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207924164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse