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Individual
VICKIE LYNN FOWLER
Active
Individual
VICKIE LYNN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
535288
CA
363L00000X
Nurse Practitioner
Primary
22550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22550
NP
CA
01
—
535288
RN LICENSE NUMBER, EXPIRED
CA
Enumeration date
03/22/2010
Last updated
05/22/2025
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