Basic Information
Provider Information
NPI: 1841230141
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWELLS
FirstName: AMY
MiddleName: JUDKINS
NamePrefix: MRS.
NameSuffix:  
Credential: PNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4800 SAND POINT WAY NE
Address2: FA.2.112 SEATTLE CHILDREN'S HOSPITAL
City: SEATTLE
State: WA
PostalCode: 981455005
CountryCode: US
TelephoneNumber: 2069872000
FaxNumber: 7137981144
Practice Location
Address1: 4800 SAND POINT WAY NE
Address2: FA.2.112, SEATTLE CHILDREN'S HOSPITAL
City: SEATTLE
State: WA
PostalCode: 981455005
CountryCode: US
TelephoneNumber: 2069872000
FaxNumber: 2069873866
Other Information
ProviderEnumerationDate: 06/07/2006
LastUpdateDate: 11/18/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X670869TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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