Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 265014 | MA |
NPI | 1003215278 |
---|---|
Provider Name | Brandon Howes |
First Address | Methuen, MA 01844-2060 |
Second Address | Methuen, MA 01844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2014 |
Last Update Date | 15/08/2018 |