Provider Demographics
NPI:1194704221
Name:HOWETT, JUDY L (FNP)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:L
Last Name:HOWETT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:JUDY
Other - Middle Name:LYNN
Other - Last Name:HOWETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP C
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:DAGSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19939-0489
Mailing Address - Country:US
Mailing Address - Phone:302-648-2099
Mailing Address - Fax:302-648-2097
Practice Address - Street 1:230 MITCHELL ST
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-9402
Practice Address - Country:US
Practice Address - Phone:302-648-2099
Practice Address - Fax:302-648-2097
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10015164163W00000X
DELG0000225363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE002289S72Medicare ID - Type Unspecified
S68828Medicare UPIN