Provider Demographics
NPI:1114732922
Name:HOWANITZ, BRANDI N (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:BRANDI
Middle Name:N
Last Name:HOWANITZ
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:N
Other - Last Name:FUQUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:255 ROSECLIFF DR
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-7925
Mailing Address - Country:US
Mailing Address - Phone:318-366-9917
Mailing Address - Fax:
Practice Address - Street 1:11 E PARK DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37334-6818
Practice Address - Country:US
Practice Address - Phone:318-366-9917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-180060363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care