Provider Demographics
NPI:1285085076
Name:PHILHOWER, CRAIG JAMES (FNP-C)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:JAMES
Last Name:PHILHOWER
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11186 WHEELER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-5708
Mailing Address - Country:US
Mailing Address - Phone:703-922-3743
Mailing Address - Fax:
Practice Address - Street 1:950 N GLEBE RD STE 4000
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1824
Practice Address - Country:US
Practice Address - Phone:571-366-8850
Practice Address - Fax:813-315-6180
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006453363LF0000X
VA0024173663363LF0000X
CT12181363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMD597OtherFL MEDICARE