Provider Demographics
NPI:1174886048
Name:HOWARD, SALICIA LOUISE (STNA)
Entity type:Individual
Prefix:MS
First Name:SALICIA
Middle Name:LOUISE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 INDIANA ST
Mailing Address - Street 2:APT C
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-5463
Mailing Address - Country:US
Mailing Address - Phone:740-586-4069
Mailing Address - Fax:
Practice Address - Street 1:428 INDIANA ST
Practice Address - Street 2:APT C
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-5463
Practice Address - Country:US
Practice Address - Phone:740-586-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-16
Last Update Date:2012-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH335358630898376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide