Individual
CARLA J FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10382 AUGUSTA DR, SAUK CENTRE, MN 56378-4864
(320) 351-8422
Mailing address
460 RIVER ST W, HOLDINGFORD, MN 56340-4519
(320) 248-2904
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
112
MN
367500000X
Certified Registered Nurse Anesthetist
R160100-0
MN
Other
Enumeration date
12/11/2011
Last updated
11/08/2024
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