Provider Demographics
NPI:1114298270
Name:HOWE, KERIN LEE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KERIN
Middle Name:LEE
Last Name:HOWE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:KERIN
Other - Middle Name:LEE
Other - Last Name:HOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:250 N ALAFAYA TRL
Mailing Address - Street 2:STE 115
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-4336
Mailing Address - Country:US
Mailing Address - Phone:407-447-1020
Mailing Address - Fax:
Practice Address - Street 1:113 N ORLANDO AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3675
Practice Address - Country:US
Practice Address - Phone:407-801-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-21
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9170817363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFX671ZMedicare PIN