Howell, Courtney Octave
Howell, Courtney Octave is an individual health care provider with primary practice located at 1432 S Dobson Rd Suite 301, Mesa AZ 85202-4768. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Howell, Courtney Octave can be contacted via phone (480) 412-7120.Contact Information
Primary practice address
1432 S Dobson Rd Suite 301
Mesa AZ 85202-4768
Phone: (480) 412-7120
Fax: (480) 412-5611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN119828 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP2628 | Arizona |
Profile Details
| NPI number | 1225161763 |
|---|---|
| LBN Legal business name | Howell, Courtney Octave |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Aug 2nd, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225161763 | NPPES |
| Arizona | MEDICAID | 198698 |
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