Individual
CHANDLER FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 N BROADWAY ST, GREEN SPRINGS, OH 44836-9734
(844) 534-3638
Mailing address
430 N BROADWAY ST, GREEN SPRINGS, OH 44836-9734
(844) 534-3638
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.542998
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
03/22/2024
Last updated
04/08/2025
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