Provider Demographics
NPI:1891000485
Name:HOWARD, DENISE ISABEL (RN)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:ISABEL
Last Name:HOWARD
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 1:888 VETERANS MEMORIAL HWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2950
Mailing Address - Country:US
Mailing Address - Phone:631-232-6030
Mailing Address - Fax:631-232-6470
Practice Address - Street 1:888 VETERANS MEMORIAL HWY
Practice Address - Street 2:SUITE 210
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2950
Practice Address - Country:US
Practice Address - Phone:631-232-6030
Practice Address - Fax:631-232-6470
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-08
Last Update Date:2010-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242433163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse