Individual
ELIZABETH A FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3333 BURNET AVE., ML 2001, CINCINNATI, OH 45229-3026
(513) 636-4408
(513) 636-7337
Mailing address
3333 BURNET AVE., ML 2001, CINCINNATI, OH 45229-3026
(513) 636-4408
(513) 636-7337
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.07261
OH
367500000X
Certified Registered Nurse Anesthetist
RN263621
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200421080
—
IN
05
—
2380972
—
OH
05
—
74007162
—
KY
Enumeration date
06/15/2006
Last updated
04/18/2018
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