Most Relevant Information
Provider Data
| NPI Number: | 1003402413 |
| Provider Name: | THERESA HOWARD NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 53-78847-111 |
Most Important Dates
| Enumeration Date: | 12/19/2020 |
| Last Updated: | 12/19/2020 |
Provider Practice Location
3901 RAINBOW BLVD
KANSAS CITY
KS
661608500
Practice Location Phone/Fax
| Phone: | 9135880653 |
| Fax: |
Provider Mailing Location
3901 RAINBOW BLVD
KANSAS CITY
KS
661608500
Provider Mailing Phone/Fax
| Phone: | 9135880653 |
| Fax: | 9135883997 |