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Individual
MS. MELINDA IDELL FOWLER
Active
Individual
MS. MELINDA IDELL FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN95026981
CA
367A00000X
Advanced Practice Midwife
000331
CT
367A00000X
Advanced Practice Midwife
NMW235640
CA
367A00000X
Advanced Practice Midwife
Primary
RN1063333
DC
Other
Enumeration date
07/04/2006
Last updated
08/12/2023
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