Individual
CHARLES FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-BC
Contact information
Practice address
1460 ORANGE ST, COSHOCTON, OH 43812-2229
(740) 622-6411
(740) 295-5921
Mailing address
1460 ORANGE ST, COSHOCTON, OH 43812-2229
(740) 622-6411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023759
OH
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-145055
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446622
—
OH
Enumeration date
10/11/2018
Last updated
06/30/2021
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