Fowl, Patricia M

Fowl, Patricia M is an individual health care provider with primary practice located at 5777 E Mayo Blvd , Phoenix AZ 85054-4502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fowl, Patricia M can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
5777 E Mayo Blvd Phoenix AZ 85054-4502
Phone: (480) 301-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN092215 Arizona

Profile Details

NPI number 1750365805
LBN Legal business name Fowl, Patricia M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Oct 29th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750365805 NPPES
Arizona Other 86080015085259A215 TRIWEST
Arizona MEDICAID 466583 TRIWEST

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