Healthcare Provider Details

I. General information

NPI: 1831998327
Provider Name (Legal Business Name): MELISSA HOWARD BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 OXFORD DR
GLEN BURNIE MD
21061-4137
US

IV. Provider business mailing address

308 OXFORD DR
GLEN BURNIE MD
21061-4137
US

V. Phone/Fax

Practice location:
  • Phone: 443-597-9247
  • Fax:
Mailing address:
  • Phone: 443-597-9247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberR205599
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: