Provider Demographics
NPI:1225010275
Name:HOWELL, JOANN M (ARNP)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:M
Last Name:HOWELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 W BAY DR
Mailing Address - Street 2:STE 301
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2282
Mailing Address - Country:US
Mailing Address - Phone:727-581-6984
Mailing Address - Fax:727-584-7648
Practice Address - Street 1:1345 W BAY DR
Practice Address - Street 2:STE 301
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2282
Practice Address - Country:US
Practice Address - Phone:727-581-6984
Practice Address - Fax:727-584-7648
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3178982363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q28545Medicare UPIN
FLU3607Medicare ID - Type Unspecified