BRENDA FOWLER


Address: 604 S Pecan St, Dermott, AR 71638-2228
Phone: 8705385296

BRENDA FOWLER (NPI# 1174637896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174637896
Entity Type Individual
Full Name BRENDA FOWLER
Credential ANP
Practice Address 604 S Pecan St
Dermott
AR 71638-2228
Mailing Address Po Box 100
Portland
AR 71663-0100
Practice Telephone 8705385296
Practice Fax Number 8705383701
Mailing Telephone 8707372737
Mailing Fax Number 8707379780
Enumeration Date 2006-08-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
A01238 AR Physician Assistants & Advanced Practice Nursing Providers

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1194280537 Brenda Fowler Registered Nurse 100 South Bliss Avenue, Tahlequah, OK 74464 2019-02-08
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1508095993 Brenda Marie Fowler Counselor 4020 Folker St, Anchorage, AK 99508-5321 2009-07-07
1437195294 Brenda Jean Fowler Pharmacist 514 W Main St, Sac City, IA 50583-1727 2006-06-21

Office Location

Street Address 604 S PECAN ST
City DERMOTT
State AR
Zip Code 71638-2228

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104251180 Rebekah Ayecock Nurse Practitioner 300 South School St, Dermott, AR 71638 2013-09-09
1508198201 Roger Alan Mason Surgery 300 South School St., Dermott, AR 71638 2010-02-04
1730219353 Dermott Day Service Center, Inc. Day Training, Developmentally Disabled Services 817 North School Street, Dermott, AR 71638 2007-03-06
1134286750 Dermott City Nursing Home Skilled Nursing Facility 702 West Gaines St., Dermott, AR 71638 2007-01-02
1861555005 Dermott High School Local Education Agency (LEA) 525 East Speedway, Dermott, AR 71638 2006-12-19
1811095656 Phillip W Pennington Dentist 300 S School, Dermott, AR 71638 2006-09-20
1669401501 Mainline Health Systems, Inc Clinic/Center 134 South Strickland St, Dermott, AR 71638 2006-07-02
1982643409 Jeffery Fenton Dunn Sr. Pharmacist 111 E Peddicord Street, Dermott, AR 71638 2006-06-06
1609298306 Cb King Jm Day Training, Developmentally Disabled Services 1109 North School, Dermott, AR 71638-0000 2014-01-15
1780119610 Medical Transport Management, Inc Ambulance 109 W Peddicord St, Dermott, AR 71638-2115 2017-04-28
Find all providers in zip 71638

Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205846813 Marie Chantale Crosse Nurse Practitioner 801 Viney Grove Rd, Prairie Grove, AR 72753-2623 2006-08-08
1720242241 Latarsha A Bryant Nurse Practitioner 215 E Bond Ave, West Memphis, AR 72301-3550 2008-07-14

Competitor

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City DERMOTT
Zip Code 71638

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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