Individual
MEGAN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. B.S.N.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28226166A
IN
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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