Provider Demographics
NPI:1699248039
Name:HOWARD, CATHY LYNN
Entity type:Individual
Prefix:MS
First Name:CATHY
Middle Name:LYNN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:947 E JOHNSTOWN RD # 162
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1851
Mailing Address - Country:US
Mailing Address - Phone:614-699-2225
Mailing Address - Fax:
Practice Address - Street 1:63 VERDIN CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-6712
Practice Address - Country:US
Practice Address - Phone:614-699-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide