Individual
LINDA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23850 HIGHWAY W, WAYNESVILLE, MO 65583-2999
(573) 528-9463
Mailing address
23850 HIGHWAY W, WAYNESVILLE, MO 65583-2999
(573) 528-9463
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2014024622
MO
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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