BRENDA FOWLER (NPI# 1174637896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871904342 | Brenda Fowler | Counselor | 1942 Nw Kearney St Ste 32, Portland, OR 97209-1426 | 2014-05-18 |
1699966770 | Brenda Lyle Fowler | Dentist | 2408 S Lamar Blvd, Suite 3, Oxford, MS 38655-5345 | 2007-08-05 |
1750907986 | Brenda Fowler | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-06-23 |
1194280537 | Brenda Fowler | Registered Nurse | 100 South Bliss Avenue, Tahlequah, OK 74464 | 2019-02-08 |
1760927800 | Brenda Fowler | Registered Nurse | 966 W. 21st Street, Chicago, IL 60608 | 2016-12-28 |
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 |
Street Address |
604 S PECAN ST |
City | DERMOTT |
State | AR |
Zip Code | 71638-2228 |
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 Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
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 |
Please comment or provide details below to improve the information on BRENDA FOWLER.
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.