Doctor Name: | CHRISTINA MARIE FOWLER |
NPI Number: | 1023325560 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | APN0000015140 |
Business Practice Address: | 11946 Kingston Pike (minute Clinic L.l.c) Farragut, TN - 379344601 |
Business Phone Number: | 8659666987 |
Business Fax Number: | |
Mailing Address: | 1 Cvs Dr, (minute Clinic L.l.c) WOONSOCKET |
State: | RI |
Postal Code: | 028956146 |
Phone Number: | 8663892727 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2010 |
NPI Last Update Date: | 12/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN0000015140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |