Provider Demographics
NPI:1700654720
Name:HOWARD-FAIRRINGTON, AMANDA JANE (BLSI, CPD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:JANE
Last Name:HOWARD-FAIRRINGTON
Suffix:
Gender:F
Credentials:BLSI, CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12085 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3637
Mailing Address - Country:US
Mailing Address - Phone:970-302-6359
Mailing Address - Fax:
Practice Address - Street 1:1557 N OGDEN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1489
Practice Address - Country:US
Practice Address - Phone:970-302-6359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula