Provider Demographics
NPI:1851672968
Name:HOWARD, KRISTEN M (MSN,APRN,WHNP-BC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MSN,APRN,WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 FAWN HOLLOW
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111
Mailing Address - Country:US
Mailing Address - Phone:318-572-6264
Mailing Address - Fax:
Practice Address - Street 1:7941 YOUREE DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-5538
Practice Address - Country:US
Practice Address - Phone:318-797-7941
Practice Address - Fax:318-797-7991
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-1393363LW0102X
LAAP08015363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAFT2262Medicare PIN