Tracy M Fowler, APRN/PNP

NPI #1801201173 in Liberal, Kansas

Provider Information

NPI Number
1801201173
Entity Type
Individual
Name
Tracy M Fowler, APRN/PNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
APRN/PNP
Enumeration Date
Jun 25, 2014
Last Updated
Apr 6, 2017

Practice Location

Address
555 W 15TH ST
Address 2
SUITE A
State
Kansas
ZIP Code
67901-2467
Phone
(620) 624-0702

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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