TRACY M FOWLER APRN/PNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1801201173- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN/PNP
- Status
- Active
Contact & Location
- Address
- 555 W 15TH ST STE A, LIBERAL, KS, 679012461
- Phone
- (620) 624-0702
- Fax
- (620) 624-2513
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: KS #5376397