Provider Demographics
NPI:1790878429
Name:HOWANIEC, BARBARA C (ANP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:C
Last Name:HOWANIEC
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:C
Other - Last Name:CARTMELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ANP
Mailing Address - Street 1:20 WALL STREET
Mailing Address - Street 2:
Mailing Address - City:NEW GLOUCESTER
Mailing Address - State:ME
Mailing Address - Zip Code:04260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22 BRAMHALL STREET
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102
Practice Address - Country:US
Practice Address - Phone:207-662-4807
Practice Address - Fax:207-662-6352
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER044648363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA NP3649Medicare ID - Type Unspecified
P48003Medicare UPIN