Lynelle Thomas Howard

Individual provider Active NPI Nurse's Aide · Long Prairie, MN

NPI 1962026708 · NPPES record last updated Jun 7, 2020

Key facts

NPI
1962026708
Entity type
Individual (NPI type 1)
Primary specialty
Nurse's Aide 376K00000X
License
10828178 (MN)
Practice address
424 4TH St S Apt 5
Long Prairie, MN 56347-1635
Phone
(706) 421-8434
NPI assigned
Jun 7, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10828178MNMDNurse's Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 10828178 MN Yes

Addresses

Primary practice location

424 4TH St S Apt 5
Long Prairie, MN 56347-1635

Mailing address

424 4TH St S Apt 5
Long Prairie, MN 56347-1635
Phone (706) 421-8434

Other providers in Long Prairie, MN

All providers in Long Prairie, MN · Nurse's Aide in Minnesota

Sources for this page

Verify at the official NPI Registry.