Individual
J RILEY FOWLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN CNP
Contact information
Practice address
553 KINGSTOWN RD, WAKEFIELD, RI 02879-3600
(401) 301-9111
(401) 284-0625
Mailing address
553 KINGSTOWN RD, WAKEFIELD, RI 02879-3600
(401) 304-9111
(401) 284-0625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN01768
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN01768
CNP
RI
Enumeration date
02/25/2018
Last updated
06/16/2018
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