Individual provider · Type 1 NPI

Ishah Marie Price Fowler, PA-C

Medical Physician Assistant · Portland, ME

NPI number 1073081428 Active

Practice location

175 Fore River Pkwy
Portland, ME 04102-2779

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA1909 (ME)

Medical Physician Assistant: Definition to come...

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About NPI 1073081428

Ishah Marie Price Fowler, PA-C's National Provider Identifier is 1073081428, issued on Nov 4, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, ME. The record was last updated on May 3, 2024.