Provider Demographics
NPI:1588150031
Name:WALKER-HOWARD, STEPHANIE MONIQUE (LPN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MONIQUE
Last Name:WALKER-HOWARD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:M
Other - Last Name:WALKER-HOWARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:4867 E 90TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2127
Mailing Address - Country:US
Mailing Address - Phone:216-926-1588
Mailing Address - Fax:
Practice Address - Street 1:4867 E 90TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44125-2127
Practice Address - Country:US
Practice Address - Phone:216-926-1588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.139137.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse