Misty Fowler LPN

NPI 1033502463 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1033502463
Gender Female
Enumeration Date 03/10/2015
Last Updated 03/10/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3775 US HIGHWAY 40 SW
LONDON OH, 43140, US
Phone (740) 506-3782
Fax
Business Location
3775 US HIGHWAY 40 SW
LONDON OH, 43140-9776, US
Phone (740) 506-3782
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN-153428-M-IV
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According to our database, Misty Fowler LPN NPI is 1033502463, taxonomy code is 164W00000X and license number is PN-153428-M-IV, license state is located at Ohio. Misty Fowler LPN physically located at 3775 Us Highway 40 Sw, London OH, 43140. NPI Number Misty Fowler LPN has the Individual type.

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1033502463 NPI number is provided on an as is basis without warranty of any kind. 1033502463 is maintained by the National Plan & Provider Enumeration System. The contents of Misty Fowler LPN are for informational purposes only.