Basic Information
Provider Information
NPI: 1548695158
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWELL
FirstName: COURTNEY
MiddleName: MICHELLE
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 190 WILLOW SPRINGS DR
Address2:  
City: CULLMAN
State: AL
PostalCode: 350573249
CountryCode: US
TelephoneNumber: 2563382099
FaxNumber:  
Practice Location
Address1: 800 MONTCLAIR RD
Address2: SUITE 101
City: BIRMINGHAM
State: AL
PostalCode: 352131908
CountryCode: US
TelephoneNumber: 2055925235
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/13/2013
LastUpdateDate: 09/13/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100X1-109590ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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