Individual
BRENDA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
604 S PECAN ST, DERMOTT, AR 71638-2228
(870) 538-5296
(870) 538-3701
Mailing address
PO BOX 100, PORTLAND, AR 71663-0100
(870) 737-2737
(870) 737-9780
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
A01238
AR
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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