Provider Demographics
NPI:1265835581
Name:HOWELL, WARITTA (PA-C)
Entity Type:Individual
Prefix:
First Name:WARITTA
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10421 MOTOR CITY DR UNIT 34713
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20827-7529
Mailing Address - Country:US
Mailing Address - Phone:301-363-4740
Mailing Address - Fax:301-363-4740
Practice Address - Street 1:2 WISCONSIN CIR STE 210
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7064
Practice Address - Country:US
Practice Address - Phone:301-363-4740
Practice Address - Fax:301-363-4740
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA.992363AM0700X
CA59695363AM0700X
MDC05861363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1117608OtherNCCPA