Provider Demographics
NPI:1518151570
Name:HOWARD, ANYA W (CERTIFIED FNP)
Entity Type:Individual
Prefix:
First Name:ANYA
Middle Name:W
Last Name:HOWARD
Suffix:
Gender:F
Credentials:CERTIFIED FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7408 BRUNSON CIR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4907
Mailing Address - Country:US
Mailing Address - Phone:703-254-3882
Mailing Address - Fax:
Practice Address - Street 1:13031 LEE JACKSON MEMORIAL HWY
Practice Address - Street 2:INSIDE CVS
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-2050
Practice Address - Country:US
Practice Address - Phone:703-254-3882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167523363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA142952ZCCUOtherPTAN
VA016945M58Medicare UPIN