# MS. ELIZABETH ROSE FOWLKES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871811729
- **Gender:** F
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 002181 | IA | Yes |
| 363AM0700X | Medical Physician Assistant | 1501 | NE | — |

## Other

- **Enumeration date:** 05/16/2010
- **Last updated:** 06/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1871811729 | WELLMARK BCBS OF IA | IA |