Provider Demographics
NPI:1245626019
Name:HOWARD, TINA BEAUDOIN (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:TINA
Middle Name:BEAUDOIN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MISS
Other - First Name:TINA
Other - Middle Name:MARIE
Other - Last Name:BEAUDOIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 590
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:WV
Mailing Address - Zip Code:24983-0590
Mailing Address - Country:US
Mailing Address - Phone:540-381-1153
Mailing Address - Fax:
Practice Address - Street 1:226 MARKET ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:VA
Practice Address - Zip Code:24127-6080
Practice Address - Country:US
Practice Address - Phone:540-381-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172573363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily