Provider Demographics
NPI:1962588723
Name:HOWARD, DONAIRE H (RN FNP BS MSW)
Entity type:Individual
Prefix:MRS
First Name:DONAIRE
Middle Name:H
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RN FNP BS MSW
Other - Prefix:
Other - First Name:DONAIRE
Other - Middle Name:
Other - Last Name:SPENCER BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 0891
Mailing Address - Street 2:800 MANOR RD 2V PROFESSIONAL SUITES KABBALAH VISITING N
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-0891
Mailing Address - Country:US
Mailing Address - Phone:718-720-0292
Mailing Address - Fax:718-761-5562
Practice Address - Street 1:800 MANOR RD
Practice Address - Street 2:PROFESSIONAL SUITES 2V
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7016
Practice Address - Country:US
Practice Address - Phone:347-613-7836
Practice Address - Fax:718-761-5562
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3021991163W00000X, 163WG0000X
ZZSW9921331041C0700X
ZZNP9921301363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered Nurse
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily