=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528951373
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ABBIE LYNN HOWARD CAA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/30/2025
-----------------------------------------------------
Last Update Date | 05/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1320 MERCY DR NW
-----------------------------------------------------
City | CANTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44708-2614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-489-1000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6570 VAN BUREN RD
-----------------------------------------------------
City | NEW FRANKLIN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44216-9741
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-690-8410
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367H00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiologist Assistant
-----------------------------------------------------
License Number | 67.000552
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------