Provider Demographics
NPI:1700508769
Name:HOWELL, TORI (CNP)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 27TH ST WALLER BLDG SUITE B06
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662
Mailing Address - Country:US
Mailing Address - Phone:740-356-8008
Mailing Address - Fax:
Practice Address - Street 1:1735 27TH STREET, WALLER BUILDING, SUITE 202
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662
Practice Address - Country:US
Practice Address - Phone:740-356-2496
Practice Address - Fax:740-356-6334
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3018160363L00000X
OHAPRN.CNP.0030033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner