Provider Demographics
NPI:1053573253
Name:HOWK, PATRICIA ANN (LPN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:HOWK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 ELM ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-1601
Mailing Address - Country:US
Mailing Address - Phone:937-615-9453
Mailing Address - Fax:
Practice Address - Street 1:813 ELM ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-1601
Practice Address - Country:US
Practice Address - Phone:937-615-9453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-28
Last Update Date:2008-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN111977164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPN111977OtherLPN LICENSE