Individual
TONYA CROLL FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1850 N HIGHWAY 190, COVINGTON, LA 70433-5157
(985) 809-1515
Mailing address
1850 N HIGHWAY 190, COVINGTON, LA 70433-5157
(985) 809-1515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08744
LA
Other
Enumeration date
03/21/2016
Last updated
09/18/2021
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