Provider Demographics
NPI:1588124788
Name:HOWARD, SAMANTHA (LPN)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 WOODLAND DR APT 68
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-7606
Mailing Address - Country:US
Mailing Address - Phone:504-284-1340
Mailing Address - Fax:
Practice Address - Street 1:5000 WOODLAND DR APT 68
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-7606
Practice Address - Country:US
Practice Address - Phone:504-284-1340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27209164X00000X
TX347983164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse