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:
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Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225161763 NPPES
Arizona MEDICAID 198698

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