Provider Demographics
NPI:1063513414
Name:HOWLAND, MICHELLE D (PA-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:D
Last Name:HOWLAND
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:15407 W MEADOWBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-6395
Mailing Address - Country:US
Mailing Address - Phone:602-741-4886
Mailing Address - Fax:
Practice Address - Street 1:13065 W MCDOWELL RD STE C130
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-6448
Practice Address - Country:US
Practice Address - Phone:623-932-5042
Practice Address - Fax:623-846-7575
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2024-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3061363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZQ31709Medicare UPIN