Individual
MRS. SHARON FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4253 N 48TH ST, MILWAUKEE, WI 53216
(414) 455-8556
Mailing address
5144 N 19TH STREET, MILWAUKEE, WI 53209
(414) 540-1611
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30257
WI
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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