Individual
MIE S FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
75 PUUHONU PL STE 100, HILO, HI 96720-2000
(808) 933-3800
(808) 933-3801
Mailing address
75 PUUHONU PL STE 100, HILO, HI 96720-2000
(808) 933-3800
(808) 933-3801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN2476
HI
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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