Individual
HILARY M FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15146 16TH AVE, MARNE, MI 49435-9605
(616) 520-9074
Mailing address
15146 16TH AVE, MARNE, MI 49435-9605
(616) 520-9074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704305987
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704305987
MI
Other
Enumeration date
09/17/2019
Last updated
11/26/2024
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