Melissa Anne Fowler-Coello
NPI #1285287888 in Carbondale, Illinois
Provider Information
- NPI Number
- 1285287888
- Entity Type
- Individual
- Name
- Melissa Anne Fowler-Coello
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 23, 2019
- Last Updated
- Oct 3, 2019
Practice Location
- Address
- 305 W JACKSON ST STE 100
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1474
- Phone
- (618) 457-0404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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