Healthcare Provider Details

I. General information

NPI: 1689009995
Provider Name (Legal Business Name): MAURA ANNE HOWE P.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 02/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST 5TH FLOOR, MAIL CODE 0136
SAN FRANCISCO CA
94143-2549
US

IV. Provider business mailing address

1250 GROVE ST APT 11
SAN FRANCISCO CA
94117-1575
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-5892
  • Fax: 415-476-1343
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number23376
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: