Provider Demographics
NPI:1689328395
Name:HOWE, CARMEN AUDREY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:AUDREY
Last Name:HOWE
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 1:19322 BURNSIDE BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KEEDYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21756-1604
Mailing Address - Country:US
Mailing Address - Phone:240-310-0614
Mailing Address - Fax:
Practice Address - Street 1:19322 BURNSIDE BRIDGE RD
Practice Address - Street 2:
Practice Address - City:KEEDYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21756-1604
Practice Address - Country:US
Practice Address - Phone:240-310-0614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR216754363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily