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Individual

ELIZABETH FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4501 LINCOLNWAY E, MISHAWAKA, IN 46544-4035
(574) 255-4729
Mailing address
834 PRISM VALLEY DR, MISHAWAKA, IN 46544-5794
(219) 561-1853

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007556A
IN

Other

Enumeration date
10/12/2017
Last updated
03/17/2018
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