Individual
PATRICE FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5000
Mailing address
3721 CHESMONT AVE, BALTIMORE, MD 21206-5041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R216128
MD
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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