Individual provider · Type 1 NPI

Mary V. Fowler, CPNP

Pediatric Nurse Practitioner · Oak Lawn, IL

NPI number 1174846554 Active

Practice location

4440 W 95th St Ste 1200H
Oak Lawn, IL 60453-2600

Mailing address

29373 Network Pl
Chicago, IL 60673-9374

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X209.007928 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1174846554

Mary V. Fowler, CPNP's National Provider Identifier is 1174846554, issued on Mar 12, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oak Lawn, IL. The record was last updated on Sep 19, 2022.