Fowler, Tracey Lynn

Fowler, Tracey Lynn is an individual health care provider with primary practice located at 110 Campus Dr , Bradford PA 16701-1982. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fowler, Tracey Lynn can be contacted via phone (814) 362-6535.

Contact Information

Primary practice address
110 Campus Dr Bradford PA 16701-1982
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP009428 Pennsylvania

Profile Details

NPI number 1518030378
LBN Legal business name Fowler, Tracey Lynn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Feb 21st, 2016 - about 10 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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