CHERYL FOWLER


Address: 523 Fontenelle St Se, Grand Rapids, MI 49548-7316
Phone: 6164819099

CHERYL FOWLER (NPI# 1669021358) 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) 1669021358
Entity Type Individual
Full Name CHERYL FOWLER
Credential AGNP-C
Practice Address 523 Fontenelle St Se
Grand Rapids
MI 49548-7316
Mailing Address 560 Seminole Rd
Norton Shores
MI 49444-3720
Practice Telephone 6164819099
Mailing Telephone 2317338686
Enumeration Date 2019-09-05
Last Update Date 2020-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704272277 MI Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 523 FONTENELLE ST SE
City GRAND RAPIDS
State MI
Zip Code 49548-7316

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205319811 Pooja Patel Social Worker Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 2018-09-10
1063906865 Kimberly Eccher Physician Assistant 300 68th St. Se, Grand Rapids, MI 49548 2018-06-15
1871099481 Baymark of Michigan, Inc. Clinic/Center 5500 Division Avenue Se, Kentwood, MI 49548 2018-04-03
1629507801 Laura Marie Quennoz Psychiatry & Neurology Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 2017-06-09
1821548504 Alison Anderson Technician, Other 103 Roth St Se, Grand Rapids, MI 49548 2016-10-06
1831540152 Jesse Aubil Counselor 264 Montebello St. Se 49548, Grand Rapids, MI 49548 2016-06-28
1306237920 Sarah Benton Social Worker 225 Colrain St Sw, 2, Grand Rapids, MI 49548 2015-02-18
1578996856 Karen Marie Irving Social Worker 3353 Lousma Dr. Se, Wyoming, MI 49548 2013-08-09
1740348044 Robert Kenneth Richmond Preventive Medicine 551 36th Street. Se, Wyoming, MI 49548 2006-12-05
1386738953 Sharita Montiez Hall Social Worker 300 68th Street Se, Grand Rapids, MI 49548 2006-10-03
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477049518 Mark Contreras Nurse Practitioner 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 2018-07-02
1811437817 Embree Embracing Quality Care 'at Your Front Door' Nurse Practitioner 1735 Woodward Ave Se, Grand Rapids, MI 49506-4531 2017-02-24
1295083152 Joanne P Sherwood Nurse Practitioner 703 Ball Ave, Grand Rapids, MI 49506 2012-08-27
1831416478 Cheryl A Sisco Nurse Practitioner 200 Jefferson Ave., Grand Rapids, MI 49503 2010-04-21
1063742518 Joanne Lois Jepsen Nurse Practitioner 2100 Raybrook Ave Se, Suite 300, Grand Rapids, MI 49546 2010-01-06
1356571749 Cathleen Suzanne Bouwsma Nurse Practitioner 250 Fuller Ave Se, Grand Rapids, MI 49506-1675 2009-07-20
1497828214 Jacob William Turmell Nurse Practitioner 2774 Birchcrest Dr Se, Grand Rapids, MI 49506 2006-11-17
1285666701 Sarah Anne Akers Nurse Practitioner 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 2006-07-07
1083212245 Jennifer Renee Jacobs Nurse Practitioner 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 2020-10-11
1992215768 Heather Metz Nurse Practitioner 710 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546-2379 2017-10-06
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Competitor

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City GRAND RAPIDS
Zip Code 49548

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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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