Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | R183029 | MD |
NPI | 1043668569 |
---|---|
Provider Name | Devorah Howell |
First Address | Baltimore, MD 21209-2443 |
Second Address | Randallstown, MD 21133-5103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2016 |
Last Update Date | 25/05/2016 |