Healthcare Provider Details

I. General information

NPI: 1437150836
Provider Name (Legal Business Name): FAITH HAWLEY HOWARTH C.R.N.P
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 06/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7711 QUARTERFIELD RD SUITE A
GLEN BURNIE MD
21061-4492
US

IV. Provider business mailing address

1111 BENFIELD BLVD SUITE 200
MILLERSVILLE MD
21108-3002
US

V. Phone/Fax

Practice location:
  • Phone: 410-761-5600
  • Fax: 410-761-5734
Mailing address:
  • Phone: 410-729-5100
  • Fax: 410-729-5156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR080746
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: