Provider Demographics
NPI:1427060110
Name:HOWARD, ALICE ANN (PA-C)
Entity type:Individual
Prefix:
First Name:ALICE ANN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4908 WESTCOTT LANDING PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-7079
Mailing Address - Country:US
Mailing Address - Phone:804-236-4607
Mailing Address - Fax:
Practice Address - Street 1:1800 GLENSIDE DR STE 103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226
Practice Address - Country:US
Practice Address - Phone:804-285-7425
Practice Address - Fax:804-673-7074
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110001246363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00168220OtherRAILROAD MEDICARE
VA172960OtherHEALTHKEEPERS
VA172960OtherANTHEM
VAC06778OtherGROUP PTAN
VA172960OtherANTHEM
VAC06778OtherGROUP PTAN