Tracey Lynn Fowler in Bradford - Psychiatric/mental Health

Tracey Lynn Fowler - NPI 1518030378

Tracey Lynn Fowler is a Psychiatric/mental Health in Bradford, Pennsylvania. Tracey Lynn Fowler practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Tracey Lynn Fowler is 1518030378. The last update date is 2016-02-21.

Tracey Lynn Fowler's current location address is 110 Campus Dr, Bradford, Pennsylvania. You can contact this provider via phone number 8143626535. The mailing address for Tracey Lynn Fowler is 110 Campus Dr, Bradford, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracey Lynn Fowler
Address 110 Campus Dr, Bradford, Pennsylvania
Phone Number 8143626535
Fax Number
Sole Proprietor N
Credentials CRNP

NPI Number Detail

NPI Number 1518030378
Provider Enumeration Date 2006-11-17
Last Updated Date 2016-02-21

Provider Mailing Address Detail

Address 110 Campus Dr
City Bradford
State Pennsylvania (PA)
Post Code 167011982
Phone Number 8143626535
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No SP009428
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

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FAQs about Tracey Lynn Fowler

What is the unique 10-digit identifier code assigned to Tracey Lynn Fowler by the Centers for Medicare & Medicaid Services?

The Tracey Lynn Fowler has been issued the NPI (National Provider Identifier) 1518030378 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Tracey Lynn Fowler's facilities are geographically located?

The facilities of Tracey Lynn Fowler are physically situated at the following location: 110 Campus Dr, Bradford, PA, 167011982.

What is the Tracey Lynn Fowler's specialty and taxonomy code?

The Tracey Lynn Fowler's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.

On what date did Tracey Lynn Fowler receive its 1518030378 assignment from the Centers for Medicare & Medicaid Services?

The Tracey Lynn Fowler was assigned its 1518030378 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Tracey Lynn Fowler, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tracey Lynn Fowler, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-02-21.

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