Individual
MRS. KAMELIA BURRELL-FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3950 HOLLYWOOD RD STE 270, SAINT JOSEPH, MI 49085-9158
(269) 983-0500
(269) 429-2240
Mailing address
3950 HOLLYWOOD RD STE 270, SAINT JOSEPH, MI 49085-9158
(269) 983-0500
(269) 429-2240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704397655
MI
363LF0000X
Family Nurse Practitioner
0024181262
VA
363LF0000X
Family Nurse Practitioner
4704397655
MI
Other
Enumeration date
05/20/2021
Last updated
09/02/2025
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