Healthcare Provider Details

I. General information

NPI: 1730858846
Provider Name (Legal Business Name): ALICE KIMBERLY HOWE CNM, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2021
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4660 KENMORE AVE STE 902
ALEXANDRIA VA
22304-1306
US

IV. Provider business mailing address

PO BOX 14079
BELFAST ME
04915-4031
US

V. Phone/Fax

Practice location:
  • Phone: 703-370-4300
  • Fax: 540-301-5492
Mailing address:
  • Phone: 703-370-4300
  • Fax: 540-301-5492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCNM236358
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPRN3137
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0024184184
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: