Provider Demographics
NPI:1831644533
Name:HOWE, ALISA SMAJLAGIC (MSN, AGNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALISA
Middle Name:SMAJLAGIC
Last Name:HOWE
Suffix:
Gender:F
Credentials:MSN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2612 PINE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-3538
Mailing Address - Country:US
Mailing Address - Phone:919-455-0647
Mailing Address - Fax:
Practice Address - Street 1:4210 LAKE BOONE TRAIL
Practice Address - Street 2:REX REHAB & NURSING CENTER
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-784-6601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCAG0616250363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care