Provider Demographics
NPI:1285087361
Name:HOWARD, KAREN (DNP-FNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 TEAL DR
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62629-1071
Mailing Address - Country:US
Mailing Address - Phone:309-310-6082
Mailing Address - Fax:
Practice Address - Street 1:65 TEAL DR
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:IL
Practice Address - Zip Code:62629-1071
Practice Address - Country:US
Practice Address - Phone:309-310-6082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-13
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-82862163W00000X
IL041-38522163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse