Healthcare Provider Details

I. General information

NPI: 1043411135
Provider Name (Legal Business Name): SHARLENE HOWARD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HARRY S TRUMAN PKWY SUITE 234, MS-3103
ANNAPOLIS MD
21401-7042
US

IV. Provider business mailing address

71 SIMMONS LN
SEVERNA PARK MD
21146-1900
US

V. Phone/Fax

Practice location:
  • Phone: 410-222-4082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberR137419
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: