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Individual

SYDNEY MELIN FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
212779
AK
363L00000X
Nurse Practitioner
Primary
70093687
WA
363LP2300X
Primary Care Nurse Practitioner
212779
AK

Other

Enumeration date
11/16/2023
Last updated
05/04/2026
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