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General NPI Number Information
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NPI Number | 1487263364
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Entity Type | Individual
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Provider Name | KRYSTAL HOWELL CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 6667 ORCHARD LAKE RD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3404
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Country | US
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Telephone | 248-206-8950
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Fax | 248-206-8951
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Provider Business Mailing Address
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Address Line | 6667 ORCHARD LAKE RD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3404
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Country | US
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Telephone | 248-206-8950
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Fax | 248-206-8951
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 4704418131
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 246751
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 28003
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License Number State | TN
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