Provider Demographics
NPI:1275164840
Name:HOWELL, KARLA AMANDA (LPN-IV)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:AMANDA
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LPN-IV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 BASSETT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45205-2231
Mailing Address - Country:US
Mailing Address - Phone:513-227-3568
Mailing Address - Fax:
Practice Address - Street 1:3317 BASSETT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45205-2231
Practice Address - Country:US
Practice Address - Phone:513-227-3568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH140118.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse