Provider Demographics
NPI:1588651814
Name:HOWE, ERIC (CRNA)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:HOWE
Suffix:
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 1:18008 W EL CAMINITO DR
Mailing Address - Street 2:
Mailing Address - City:WADDELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85355-7808
Mailing Address - Country:US
Mailing Address - Phone:509-220-2616
Mailing Address - Fax:
Practice Address - Street 1:18008 W EL CAMINITO DR
Practice Address - Street 2:
Practice Address - City:WADDELL
Practice Address - State:AZ
Practice Address - Zip Code:85355-7808
Practice Address - Country:US
Practice Address - Phone:509-220-2616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCRNA0769367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3989690Medicare ID - Type Unspecified