Bonita S Fowler, C-FNP
NPI #1912195538 in Bluefield, West Virginia
Provider Information
- NPI Number
- 1912195538
- Entity Type
- Individual
- Name
- Bonita S Fowler, C-FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- C-FNP
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 512 CHERRY ST
- Address 2
- BUILDING I
- City
- Bluefield
- State
- West Virginia
- ZIP Code
- 24701-3341
- Phone
- (304) 324-2715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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