Provider Demographics
NPI:1578836847
Name:HOWARTH, ROBYN
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:HOWARTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 90
Mailing Address - Street 2:AAKSAIK ROAD 90
Mailing Address - City:NOATAK
Mailing Address - State:AK
Mailing Address - Zip Code:99761
Mailing Address - Country:US
Mailing Address - Phone:907-485-2162
Mailing Address - Fax:907-485-2241
Practice Address - Street 1:90 AAKSAIK ROAD
Practice Address - Street 2:
Practice Address - City:NOATAK
Practice Address - State:AK
Practice Address - Zip Code:99761
Practice Address - Country:US
Practice Address - Phone:907-485-2162
Practice Address - Fax:907-485-2241
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK10-1060-III172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker