Provider Demographics
NPI:1831170562
Name:HOWARD, ANNE F (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:F
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-0800
Mailing Address - Country:US
Mailing Address - Phone:804-695-0305
Mailing Address - Fax:804-695-0804
Practice Address - Street 1:8264 GEORGE WASHINGTON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-4127
Practice Address - Country:US
Practice Address - Phone:804-695-0305
Practice Address - Fax:804-695-0804
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000038101208000000X
VA0101248916208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1831170562Medicaid
I00007Medicare UPIN