ELIZABETH FOWLER (NPI# 1679084073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679084073 |
| Entity Type | Individual |
| Full Name | ELIZABETH FOWLER |
| Credential | NP |
| Practice Address |
4501 Lincolnway E Mishawaka IN 46544-4035 |
| Mailing Address |
834 Prism Valley Dr Mishawaka IN 46544-5794 |
| Practice Telephone | 5742554729 |
| Mailing Telephone | 2195611853 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71007556A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4630 Vistula Rd, Mishawaka, IN 465444000 | 5743184291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992301 | Elizabeth Fowler | Pharmacist | 110 N Market St, Chattanooga, TN 37405-3905 | 2020-08-16 |
| 1891338018 | Elizabeth Fowler | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2019-10-21 |
| 1891290177 | Elizabeth Fowler | Clinic/Center | 122 Gordon Commercial Dr Ste C, Lagrange, GA 30240-5754 | 2018-03-28 |
| 1881103521 | Elizabeth Haley Fowler | Dental Hygienist | 10590 Enduring Freedom Drive, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2017-09-26 |
| 1851741656 | Elizabeth Fowler | Speech-Language Pathologist | 1951 Caleb Ave, Syracuse, NY 13206-2560 | 2016-06-13 |
| 1700139979 | Elizabeth Mary Fowler | Internal Medicine | 1500 Highlands Dr, Lititz, PA 17543-7694 | 2012-10-24 |
| 1740459668 | Elizabeth Fowler | Speech-Language Pathologist | 28093 Smyth Dr, Valencia, CA 91355-4023 | 2008-02-25 |
| 1932253325 | Elizabeth M Fowler | Psychologist | 1020 Holcombe Blvd, 1304, Houston, TX 77030-2210 | 2007-01-22 |
| 1063576429 | Elizabeth Mae Fowler | Pathology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2006-12-20 |
| 1477563666 | Elizabeth Wentworth Fowler | Pediatrics | 595 Price Ave, Ste E, Redwood City, CA 94063 | 2006-08-09 |
| Street Address |
4501 LINCOLNWAY E |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46544-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386192870 | Melinda C Nwanganga | Nurse Practitioner | 4501 Lincolnway E, Mishawaka, IN 46544-4035 | 2016-09-14 |
| 1649811464 | Ginger Renee Wade | Nurse Practitioner | 4501 Lincolnway E, Mishawaka, IN 46544-4035 | 2019-10-02 |
| 1952958688 | Dana Nicole Soldato | Pharmacist | 4501 Lincolnway E, Mishawaka, IN 46544-4035 | 2019-08-19 |
| 1497234074 | Joanna Marie Fay | Nurse Practitioner | 4501 Lincolnway E, Mishawaka, IN 46544-4035 | 2018-08-14 |
| 1609317973 | Channah C Klor | Nurse Practitioner | 4501 Lincolnway E, Mishawaka, IN 46544-4035 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692676 | Lynnette Markowicz | Occupational Therapist | 1540 S. Logan St, Mishawaka, IN 46544 | 2020-09-08 |
| 1902429822 | Hellenic Senior Living of Mishawaka LLC | Assisted Living Facility | 1540 S. Logan Street, Mishawaka, IN 46544 | 2020-05-27 |
| 1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
| 1376072785 | Aims, LLC | Psychologist | 1113 Mossy Lane, Mishawaka, IN 46544 | 2017-06-08 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1598153355 | Hearing Aid Service | Hearing Instrument Specialist | 3718 Lincolnway E, Mishawaka, IN 46544 | 2015-01-02 |
| 1437587953 | Christopher Ryan Hazel | Dentist | 544 Lincolnway West, Mishawaka, IN 46544 | 2013-10-18 |
| 1699015941 | Frank Walerko | Urology | 809 Bittersweet Cove Drive, Mishawaka, IN 46544 | 2013-02-25 |
| 1023251337 | Josephine Schimizzi | Family Medicine | 1505 South Spring Street, Mishawaka, IN 46544 | 2009-04-16 |
| 1881831147 | Walgreen Co | Pharmacy | 4620 Lincolnway E, Mishawaka, IN 46544 | 2009-01-08 |
| Find all providers in zip 46544 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092908 | Tori Driver | Nurse Practitioner | 3005 Grape Rd Ste B, Mishawaka, IN 46545-2709 | 2020-01-13 |
| 1093272593 | Regina Lynn Yoder | Nurse Practitioner | 303 S Main St Ste 111, Mishawaka, IN 46544-2159 | 2019-02-21 |
| 1376021725 | Kaley Michelle Marino | Nurse Practitioner | 1113 Mossy Ln, Mishawaka, IN 46544-9055 | 2018-07-29 |
| 1386192870 | Melinda C Nwanganga | Nurse Practitioner | 4501 Lincolnway E, Mishawaka, IN 46544-4035 | 2016-09-14 |
| 1760835912 | Ophelia Ansari | Nurse Practitioner | 4501 Linconway East, Mishawaka, IN 46544 | 2016-07-22 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1578692794 | Lynn Davis Figg | Nurse Practitioner | 611 East Douglas Road, Suite 405, Mishawaka, IN 46545-1468 | 2007-03-05 |
| 1376557702 | Patricia L Jackson | Nurse Practitioner | 230 W Catalpa Dr, Suite D, Mishawaka, IN 46545-8321 | 2006-07-28 |
| 1467406074 | Saint Joseph Regional Medical Center, Inc. | Nurse Practitioner | 60101 Bodnar Blvd Ste 100b, Mishawaka, IN 46544-9340 | 2006-05-19 |
| 1518955327 | Tori Dawn Clabaugh | Nurse Practitioner | 316 Indian Ridge Blvd, Mishawaka, IN 46545-9034 | 2005-10-06 |
| Find all providers in MISHAWAKA | ||||
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| 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.