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Individual

ANGELA FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
131 W 25TH ST, NEW YORK, NY 10001-7243
(212) 803-5700
Mailing address
154 ABOVE ALL RD, WARREN, CT 06754-1709
(860) 689-5296

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406479
NY

Other

Enumeration date
11/06/2024
Last updated
11/06/2024
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