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Individual

MR. GARY W FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.P.N.

Contact information

Practice address
3401 SPRINGHILL DR, SUITE 245, NORTH LITTLE ROCK, AR 72117-2924
(501) 758-1530
(501) 758-5371
Mailing address
3401 SPRINGHILL DR, SUITE 245, NORTH LITTLE ROCK, AR 72117-2924
(501) 758-1530
(501) 758-5371

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A01813
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A01813ANP
ADVANCED PRACTICE NURSE
AR
01
R20858
REGISTERED NURSE
AR
Enumeration date
08/30/2006
Last updated
07/08/2007
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