Basic Information
Provider Information
NPI: 1497319016
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWELL
FirstName: HOLLY
MiddleName: MEGAN
NamePrefix:  
NameSuffix:  
Credential: APRN-CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8906 SPANISH RIDGE AVE STE 202
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891481319
CountryCode: US
TelephoneNumber: 7023303102
FaxNumber: 7029124994
Practice Location
Address1: 517 ROSE ST
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 89106
CountryCode: US
TelephoneNumber: 7024384692
FaxNumber: 7024852372
Other Information
ProviderEnumerationDate: 04/29/2019
LastUpdateDate: 07/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X820186NVN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
367A00000X820186NVY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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