Provider Demographics
NPI:1023814167
Name:ANGELA BAKER HOWARD, PMHNP-BC, LLC
Entity type:Organization
Organization Name:ANGELA BAKER HOWARD, PMHNP-BC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BAKER HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:703-999-5764
Mailing Address - Street 1:1507 ELK POINT DR
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-1122
Mailing Address - Country:US
Mailing Address - Phone:703-999-5764
Mailing Address - Fax:
Practice Address - Street 1:1507 ELK POINT DR
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20194-1122
Practice Address - Country:US
Practice Address - Phone:703-999-5764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health