Provider Demographics
NPI:1437634805
Name:HOWELL, DELMARI (LM)
Entity Type:Individual
Prefix:MRS
First Name:DELMARI
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 VICTORIA HILLS DR
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-8823
Mailing Address - Country:US
Mailing Address - Phone:276-623-7664
Mailing Address - Fax:352-357-3028
Practice Address - Street 1:431 VICTORIA HILLS DR
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-8823
Practice Address - Country:US
Practice Address - Phone:276-623-7664
Practice Address - Fax:352-357-3028
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW415176B00000X
FL174H00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoula
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1437634805Medicaid