Provider Demographics
NPI:1083811236
Name:HOWELL, CHRISTA L (CNM)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:L
Last Name:HOWELL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:L
Other - Last Name:BARTELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:3000 32ND AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6132
Practice Address - Country:US
Practice Address - Phone:701-364-8000
Practice Address - Fax:701-364-8078
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR30805367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
HP81342OtherHEALTHPARTNERS
MN053490000Medicaid
ND1051240OtherPREFERRED ONE
ND51807Medicaid
MN053490000Medicaid
ND51807Medicaid