Provider Demographics
NPI:1265478630
Name:HOWARD, REBECCA ANN (MSN,APN,CNS)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MSN,APN,CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 W BERRY AVE
Mailing Address - Street 2:ARAPAHOE/DOUGLAS MENTAL HEALTH NETWORK
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1101
Mailing Address - Country:US
Mailing Address - Phone:303-347-6436
Mailing Address - Fax:303-703-3535
Practice Address - Street 1:2200 W BERRY AVE
Practice Address - Street 2:ARAPAHOE/DOUGLAS MENTAL HEALTH NETWORK
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1101
Practice Address - Country:US
Practice Address - Phone:303-347-6436
Practice Address - Fax:303-703-3535
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO110816364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO39258041Medicaid
CO459288Medicare ID - Type Unspecified
COP23784Medicare UPIN