Provider Demographics
NPI:1780834622
Name:HOWINGTON, MAXINE KLINGER (RN)
Entity Type:Individual
Prefix:MRS
First Name:MAXINE
Middle Name:KLINGER
Last Name:HOWINGTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46999 NORTH FIFTH STREET
Mailing Address - Street 2:
Mailing Address - City:ASH FORK
Mailing Address - State:AZ
Mailing Address - Zip Code:86320
Mailing Address - Country:US
Mailing Address - Phone:928-637-2561
Mailing Address - Fax:928-637-2623
Practice Address - Street 1:46999 N FIFTH ST
Practice Address - Street 2:
Practice Address - City:ASH FORK
Practice Address - State:AZ
Practice Address - Zip Code:86320-0247
Practice Address - Country:US
Practice Address - Phone:928-637-2561
Practice Address - Fax:928-637-2623
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN046591163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool