Provider Demographics
NPI:1548916653
Name:BROWHOW, SHANITA (LPN)
Entity type:Individual
Prefix:MS
First Name:SHANITA
Middle Name:
Last Name:BROWHOW
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 E MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71220-3829
Mailing Address - Country:US
Mailing Address - Phone:318-283-0868
Mailing Address - Fax:318-281-8018
Practice Address - Street 1:451 E MADISON AVE
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-3829
Practice Address - Country:US
Practice Address - Phone:318-281-0852
Practice Address - Fax:318-281-8018
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA20150159164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse