Provider Demographics
NPI:1831948132
Name:REYNOLDS-HOWELL, CARMEN MICHELE (ADN, RN)
Entity type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:MICHELE
Last Name:REYNOLDS-HOWELL
Suffix:
Gender:F
Credentials:ADN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 E 65TH ST STE 44
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4496
Mailing Address - Country:US
Mailing Address - Phone:912-658-0346
Mailing Address - Fax:912-354-2259
Practice Address - Street 1:836 E 65TH ST STE 44
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4496
Practice Address - Country:US
Practice Address - Phone:912-658-0346
Practice Address - Fax:912-354-2259
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN089789163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse