Provider Demographics
NPI:1578905022
Name:HOWARD, ANDREA K (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:K
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12655 NEW BRITTANY BLVD # 13
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3631
Mailing Address - Country:US
Mailing Address - Phone:941-882-0599
Mailing Address - Fax:
Practice Address - Street 1:12655 NEW BRITTANY BLVD # 13
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3631
Practice Address - Country:US
Practice Address - Phone:941-882-0599
Practice Address - Fax:844-325-0635
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022192363LF0000X
FLAPRN11018194363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty