Provider Demographics
NPI:1447643242
Name:HOWARD, MARSENA D (DNP, CRNP, CNM)
Entity type:Individual
Prefix:DR
First Name:MARSENA
Middle Name:D
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DNP, CRNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-9671
Mailing Address - Country:US
Mailing Address - Phone:717-665-7595
Mailing Address - Fax:
Practice Address - Street 1:2344 SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-9671
Practice Address - Country:US
Practice Address - Phone:717-665-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP000420B363LF0000X
PAMW008123L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily