Provider Demographics
NPI:1932524881
Name:HOWELL, MARTA M (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:M
Last Name:HOWELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:MARTA
Other - Middle Name:M
Other - Last Name:KOWALIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6600 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-1971
Mailing Address - Country:US
Mailing Address - Phone:727-838-6186
Mailing Address - Fax:727-815-7275
Practice Address - Street 1:6600 MADISON ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652
Practice Address - Country:US
Practice Address - Phone:727-838-6186
Practice Address - Fax:727-815-7275
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.006250363A00000X
PAMA056748363AM0700X
FLPA9111264363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical