Individual
TRACY L. FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-8300
(206) 598-2318
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00107312
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30006187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172020
LABOR & INDUSTRY
WA
01
—
36768U
REGENCE BLUESHIELD
WA
05
—
9638008
—
WA
Enumeration date
07/18/2006
Last updated
10/11/2007
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