Healthcare Provider Details

I. General information

NPI: 1164017083
Provider Name (Legal Business Name): KATHRYN HOWELL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2021
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11456 BROADWAY
CROWN POINT IN
46307-7106
US

IV. Provider business mailing address

11456 BROADWAY
CROWN POINT IN
46307-7106
US

V. Phone/Fax

Practice location:
  • Phone: 219-488-0154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF03210122
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: