Individual
MRS. COURTNEY OCTAVE HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1432 S DOBSON RD, SUITE 301, MESA, AZ 85202-4768
(480) 412-7120
(480) 412-5611
Mailing address
1432 S DOBSON RD, SUITE 301, MESA, AZ 85202-4768
(480) 412-7120
(480) 412-5611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN119828
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
AP2628
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198698
—
AZ
Enumeration date
03/13/2007
Last updated
08/02/2011
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