Individual
SHAMI LYNN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
207 W 10TH ST, WRIGHT CITY, OK 74766
(580) 981-2104
(580) 981-2105
Mailing address
PO BOX 650, WRIGHT CITY, OK 74766-0650
(580) 981-2104
(580) 981-2105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
121401
OK
Other
Enumeration date
06/09/2020
Last updated
06/18/2021
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