Provider Demographics
NPI:1922531789
Name:HOWEY, MISTY
Entity Type:Individual
Prefix:
First Name:MISTY
Middle Name:
Last Name:HOWEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MISTY
Other - Middle Name:
Other - Last Name:VAN NESS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:200 N RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-1042
Mailing Address - Country:US
Mailing Address - Phone:419-707-2533
Mailing Address - Fax:
Practice Address - Street 1:200 N RAILROAD ST
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:OH
Practice Address - Zip Code:43449-1042
Practice Address - Country:US
Practice Address - Phone:419-707-2533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-09
Last Update Date:2017-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.131139.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse