Basic Information
Provider Information
NPI: 1700508769
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWELL
FirstName: TORI
MiddleName:  
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NameSuffix:  
Credential: CNP
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Mailing Information
Address1: 1735 27TH ST WALLER BLDG SUITE B06
Address2:  
City: PORTSMOUTH
State: OH
PostalCode: 45662
CountryCode: US
TelephoneNumber: 7403568008
FaxNumber:  
Practice Location
Address1: SOMC WEST UNION FAMILY HEALTH CENTER
Address2: 90 CIC BOULEVARD
City: WEST UNION
State: OH
PostalCode: 45693
CountryCode: US
TelephoneNumber: 9375448989
FaxNumber: 9375445659
Other Information
ProviderEnumerationDate: 09/16/2022
LastUpdateDate: 09/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 09/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN.CNP.0030033OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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