BRENDA FOWLER ANP NPI 1174637896

NPI Information

NPI: 1174637896
Provider Name: BRENDA FOWLER, ANP
Classification: Nurse Practitioner - 363LC1500X
Entity Type: Individual

Specialization: Community Health

Address:
604 S PECAN ST
DERMOTT, AR
ZIP 71638
Phone: (870) 538-5296
Get Directions

Brenda Fowler, ANP is a community health nurse practitioner in Dermott, AR. Brenda Fowler, ANP NPI is 1174637896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

604 S PECAN ST
DERMOTT, AR
ZIP 71638-228
Phone: (870) 538-5296
Fax: (870) 538-3701

The enumeration date for this NPI number is 8/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC1500X	Nurse Practitioner	Community Health	A01238	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5S843	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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