MEDICARE: MICHELLE RENEE HOWELL FNP-BC

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	363L00000X	Nurse Practitioner	338129	OH
2	363LF0000X	Family Nurse Practitioner	338129	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386286201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE RENEE HOWELL FNP-BC

Provider Business Mailing Address
First Line	:	2780 TWY HWY 300
Second Line	:
City	:	HAMMONDSVILLE
State	:	OH
Zip	:	43930
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 N MARKET ST STE B
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-1146
Country	:	US
Telephone Number	:	330-870-4595
Fax Number	:	330-870-4189

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

Provider Enumeration Date	:	10/11/2019
Last Update Date	:	10/08/2021

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