Individual
MRS. AUDREY F FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2755 STATE HIGHWAY 67, JOHNSTOWN, NY 12095-3747
(518) 736-4350
(518) 736-4357
Mailing address
31 HIGHLAND PL, CANAJOHARIE, NY 13317-1303
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
4239631
NY
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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