Individual
ANGELA VU FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 704-7950
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2322617
MA
Other
Enumeration date
07/03/2020
Last updated
06/01/2022
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