Individual provider · Type 1 NPI
Cheryl Fowler, AGNP-C
Adult Health Nurse Practitioner · Grand Rapids, MI
NPI number
1669021358
Active
Practice location
523 Fontenelle St SE
Grand Rapids, MI 49548-7316
Mailing address
560 Seminole Rd
Norton Shores, MI 49444-3720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704272277 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1669021358
Cheryl Fowler, AGNP-C's National Provider Identifier is 1669021358, issued on Sep 5, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 27, 2020.