Individual provider · Type 1 NPI
Brenda Fowler, ANP
Community Health Nurse Practitioner · Dermott, AR
NPI number
1174637896
Active
Practice location
604 S Pecan St
Dermott, AR 71638-2228
Fax (870) 538-3701
Mailing address
PO Box 100
Portland, AR 71663-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner Primary | 363LC1500X | A01238 (AR) |
Community Health Nurse Practitioner: Definition to come...
About NPI 1174637896
Brenda Fowler, ANP's National Provider Identifier is 1174637896, issued on Aug 19, 2006. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Dermott, AR. The record was last updated on Jul 8, 2007.