Healthcare Provider Details

I. General information

NPI: 1194146118
Provider Name (Legal Business Name): MR. ROBERT HOWARD III
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2013
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2395 LANCASTER PIKE FL 1
READING PA
19607-2375
US

IV. Provider business mailing address

4060 DAVISVILLE RD
HATBORO PA
19040-2930
US

V. Phone/Fax

Practice location:
  • Phone: 814-505-7060
  • Fax:
Mailing address:
  • Phone: 267-632-1460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP013529
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP030692
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP013529
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP013529
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: