Brenda Fowler
Nurse Practitioner - Community Health
604 S Pecan St
Dermott
, Arkansas 71638-2228
Brenda Fowler
Nurse Practitioner - Community Health
604 S Pecan St
Dermott
, Arkansas 71638-2228
(870) 737-9780
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Brenda Fowler
- Po Box 100
- Portland, AR
- Zip : 71663-0100
- Fax : (870) 737-9780
- Phone : (870) 737-2737
Second Address
- Brenda Fowler
- 604 S Pecan St
- Dermott, AR
- Zip : 71638-2228
- Fax : (870) 538-3701
- Phone : (870) 538-5296
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | A01238 | AR |
National Provider Identifier
| NPI | 1174637896 |
|---|---|
| Provider Name | Brenda Fowler |
| First Address | Portland, AR 71663-0100 |
| Second Address | Dermott, AR 71638-2228 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.