Provider Demographics
NPI:1295453009
Name:HOWK, CAROLYNN ROSE (APRN, FNP)
Entity type:Individual
Prefix:
First Name:CAROLYNN
Middle Name:ROSE
Last Name:HOWK
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 HCR 2341
Mailing Address - Street 2:
Mailing Address - City:ABBOTT
Mailing Address - State:TX
Mailing Address - Zip Code:76621-3504
Mailing Address - Country:US
Mailing Address - Phone:214-717-0451
Mailing Address - Fax:
Practice Address - Street 1:2400 N I 35 # N
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5240
Practice Address - Country:US
Practice Address - Phone:469-843-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-17
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1090218363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily