Matthew Fowler, AGNP-C

NPI #1053943688 in Nampa, Idaho

Provider Information

NPI Number
1053943688
Entity Type
Individual
Name
Matthew Fowler, AGNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
AGNP-C
Enumeration Date
Feb 11, 2020
Last Updated
Sep 22, 2025

Practice Location

Address
1611 12TH AVE RD STE A
City
Nampa
State
Idaho
ZIP Code
83686-6182
Phone
(208) 546-3650

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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