MEDICARE: HOWARD J FAULKNER CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R176326	MD

General Provider Information

NPI Number	:	1073864203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD J FAULKNER CRNP

Provider Business Mailing Address
First Line	:	506 QUAINT ACRES DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	828 DULANEY VALLEY RD STE 12
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-2822
Country	:	US
Telephone Number	:	410-343-9869
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2012
Last Update Date	:	04/21/2023

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