Healthcare Provider Details

I. General information

NPI: 1184676066
Provider Name (Legal Business Name): BRIAN HOWARD APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W WINTER ST STE 200
DELAWARE OH
43015-4635
US

IV. Provider business mailing address

2425 S 171ST ST
OMAHA NE
68130-2393
US

V. Phone/Fax

Practice location:
  • Phone: 833-351-8255
  • Fax:
Mailing address:
  • Phone: 800-856-6385
  • Fax: 877-553-0660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408560
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.09221
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: