Individual
TRACY M FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN/PNP
Contact information
Practice address
555 W 15TH ST STE A, LIBERAL, KS 67901-2461
(620) 624-0702
(620) 624-2513
Mailing address
PO BOX 1215, LIBERAL, KS 67905-1215
(620) 624-0732
(620) 624-2513
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5376397
KS
Other
Enumeration date
06/25/2014
Last updated
03/06/2026
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