Provider Demographics
NPI:1275954166
Name:HOWARD, RUSSELL ALLEN (APRN)
Entity Type:Individual
Prefix:MR
First Name:RUSSELL
Middle Name:ALLEN
Last Name:HOWARD
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:841 CENTRAL STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03235-2053
Mailing Address - Country:US
Mailing Address - Phone:603-934-0177
Mailing Address - Fax:603-934-2805
Practice Address - Street 1:22 STRAFFORD ST
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-4701
Practice Address - Country:US
Practice Address - Phone:603-934-0177
Practice Address - Fax:603-934-2805
Is Sole Proprietor?:No
Enumeration Date:2013-12-19
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH063573-23363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health