Provider Demographics
NPI:1629370697
Name:HOWARD, ELLEN (CNM)
Entity Type:Individual
Prefix:MISS
First Name:ELLEN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 OAKLAND RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4821
Mailing Address - Country:US
Mailing Address - Phone:828-253-5381
Mailing Address - Fax:828-253-9087
Practice Address - Street 1:41 OAKLAND RD STE 200
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4821
Practice Address - Country:US
Practice Address - Phone:828-253-5381
Practice Address - Fax:828-253-9087
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCNM0242176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7002176Medicaid