Provider Demographics
NPI:1104503820
Name:HOWELL-WARREN, SODONNIE JAY (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:SODONNIE
Middle Name:JAY
Last Name:HOWELL-WARREN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5609 MAUNA LOA BLVD UNIT 207
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8980
Mailing Address - Country:US
Mailing Address - Phone:336-577-9975
Mailing Address - Fax:
Practice Address - Street 1:5445 6TH ST
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-3907
Practice Address - Country:US
Practice Address - Phone:336-577-9975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC159918163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health