Provider Demographics
NPI:1053784637
Name:HOWARD, TAMARA FAITH (NP-C)
Entity type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:FAITH
Last Name:HOWARD
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:SPRUNGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 SMOKERISE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-9499
Mailing Address - Country:US
Mailing Address - Phone:330-321-9926
Mailing Address - Fax:234-201-7644
Practice Address - Street 1:200 SMOKERISE DR STE 100
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-9499
Practice Address - Country:US
Practice Address - Phone:330-590-0847
Practice Address - Fax:234-201-7644
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.1837-NP363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology