Individual
BRITTANY NICOLE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
332 6TH AVE, CHARLESTON, WV 25303-1269
(304) 757-9333
Mailing address
332 6TH AVE, CHARLESTON, WV 25303-1269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
102979
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3044001681
—
WV
Enumeration date
06/01/2022
Last updated
06/01/2022
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