Provider Demographics
NPI:1124249982
Name:HOWELL, CURTIS CLAYTON II (CRNA)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:CLAYTON
Last Name:HOWELL
Suffix:II
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 CORDER RD
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-3604
Mailing Address - Country:US
Mailing Address - Phone:478-322-4100
Mailing Address - Fax:
Practice Address - Street 1:216 CORDER RD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-3604
Practice Address - Country:US
Practice Address - Phone:478-322-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN145028367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA812892124BMedicaid
GAP00199612OtherRAIL ROAD
GA812892124AMedicaid
GA812892124AOtherPEACHSTATE CMO
GA344334OtherWELLCARE CMO
GA812892124BMedicaid
GA812892124AOtherPEACHSTATE CMO
GA43ZCBFB202Medicare PIN
GA511I430509Medicare PIN