Provider Demographics
NPI:1407868235
Name:HOWARD, JOAN BARBARA (MNAPRN,BC)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:BARBARA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MNAPRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8140 ASHTON AVE
Mailing Address - Street 2:STE.100
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2894
Mailing Address - Country:US
Mailing Address - Phone:703-335-2433
Mailing Address - Fax:703-330-3966
Practice Address - Street 1:8140 ASHTON AVE
Practice Address - Street 2:STE.100
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2894
Practice Address - Country:US
Practice Address - Phone:703-335-2433
Practice Address - Fax:703-330-3966
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00150000253364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005510279Medicaid
VA005510279Medicaid
VA558675Medicare UPIN