Provider Demographics
NPI:1437150836
Name:HOWARTH, FAITH HAWLEY (CRNP)
Entity Type:Individual
Prefix:MS
First Name:FAITH
Middle Name:HAWLEY
Last Name:HOWARTH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 BENFIELD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-3002
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:410-729-5156
Practice Address - Street 1:7711 QUARTERFIELD RD
Practice Address - Street 2:SUITE A
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4492
Practice Address - Country:US
Practice Address - Phone:410-761-5600
Practice Address - Fax:410-761-5734
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR080746363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7605-0003OtherCAREFIRST BLUECHOICE
MD50005121OtherRR MEDICARE
MD510500500Medicaid
MD604131-01OtherCAREFIRST MD RENDERING
MD120233OtherJHHC PROVIDER NUMBER
MD6279933OtherAETNA HMO
MD9873508OtherAETNA PPO
MD226LD921Medicare PIN
MD50005121OtherRR MEDICARE