Provider Demographics
NPI:1871843953
Name:HOWELL, AUTUM EMERSON (CFNP)
Entity Type:Individual
Prefix:
First Name:AUTUM
Middle Name:EMERSON
Last Name:HOWELL
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 FT. MISSOULA RD, BLDG 2
Mailing Address - Street 2:102
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804
Mailing Address - Country:US
Mailing Address - Phone:406-327-3819
Mailing Address - Fax:406-327-3825
Practice Address - Street 1:2831 FT. MISSOULA RD. BLDG 2
Practice Address - Street 2:102
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804
Practice Address - Country:US
Practice Address - Phone:406-327-3819
Practice Address - Fax:406-327-3925
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-02039363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily