Individual
MARISSA L HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 659-5965
(270) 659-5946
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011335
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100530440
—
KY
01
—
K255581
MEDICARE
KY
Enumeration date
06/01/2017
Last updated
03/01/2023
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