Tracey Lynn Fowler, CRNP
NPI #1518030378 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1518030378
- Entity Type
- Individual
- Name
- Tracey Lynn Fowler, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- CRNP
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Feb 21, 2016
Practice Location
- Address
- 110 CAMPUS DR
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-1982
- Phone
- (814) 362-6535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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