Provider Demographics
NPI:1922071695
Name:HOWERTON, SHELIA MAE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:MAE
Last Name:HOWERTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1060
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:AR
Mailing Address - Zip Code:72650-1060
Mailing Address - Country:US
Mailing Address - Phone:870-448-5101
Mailing Address - Fax:870-448-3767
Practice Address - Street 1:358 EAST VALLEY STREET
Practice Address - Street 2:
Practice Address - City:YELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72687-0409
Practice Address - Country:US
Practice Address - Phone:870-449-7000
Practice Address - Fax:866-554-1757
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01078363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR130215758Medicaid
ARMH0261355OtherDEA
ARMH0261355OtherDEA
ARS28036Medicare UPIN