Basic Information
| Provider Information | |||||||||
| NPI: | 1023293867 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWELL | ||||||||
| FirstName: | ALISHA | ||||||||
| MiddleName: | W. | ||||||||
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| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 716 N WASHINGTON | ||||||||
| Address2: | |||||||||
| City: | MAGNOLIA | ||||||||
| State: | AR | ||||||||
| PostalCode: | 717532434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8702345861 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 626 CHESTNUT ST | ||||||||
| Address2: | |||||||||
| City: | LEWISVILLE | ||||||||
| State: | AR | ||||||||
| PostalCode: | 718458502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8709213800 | ||||||||
| FaxNumber: | 8709213841 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2007 | ||||||||
| LastUpdateDate: | 12/28/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | R55091 | AR | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.