Individual
MS. MARY R FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, FNP-BC
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2700
Mailing address
4400 BROADWAY STE 510, KANSAS CITY, MO 64111-3551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012006262
MO
Other
Enumeration date
02/23/2012
Last updated
07/14/2014
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