Provider Demographics
NPI:1790430478
Name:HOWELL, NATHALIE ROSE (RN)
Entity Type:Individual
Prefix:MRS
First Name:NATHALIE
Middle Name:ROSE
Last Name:HOWELL
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 1:10 MARK AVE
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-7822
Mailing Address - Country:US
Mailing Address - Phone:678-478-8847
Mailing Address - Fax:
Practice Address - Street 1:601 WILMINGTON ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-4956
Practice Address - Country:US
Practice Address - Phone:843-525-7615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCALDR2152506163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health