Provider Demographics
NPI:1952689192
Name:HOWELL, TONYA L (CRNP)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:L
Last Name:HOWELL
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 1:1205 PEMBERTON DR. UNIT 105
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2483
Mailing Address - Country:US
Mailing Address - Phone:410-341-0300
Mailing Address - Fax:410-341-0030
Practice Address - Street 1:1205 PEMBERTON DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2483
Practice Address - Country:US
Practice Address - Phone:410-341-0300
Practice Address - Fax:410-341-0030
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR156095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily