MS. DEIRDRE VYVYAN FOWLER (NPI# 1194939918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194939918 |
| Entity Type | Individual |
| Full Name | MS. DEIRDRE VYVYAN FOWLER |
| Credential | RN-NP |
| Practice Address |
1710 S 7th St Milwaukee WI 53204-3538 |
| Mailing Address |
3307 N Bartlett Ave Milwaukee WI 53211-3025 |
| Practice Telephone | 4146458383 |
| Practice Fax Number | 4146458803 |
| Mailing Telephone | 4143323428 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
76688-030 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1710 S 7TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53204-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912416850 | Marian Quimimanles Mettle | Nurse Practitioner | 1710 S 7th St, Milwaukee, WI 53204-3538 | 2017-09-22 |
| 1831363464 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 1710 S 7th St, Suite 300, Milwaukee, WI 53204-3538 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423290 | Blue Ribbon Healthcare LLC | Health Maintenance Organization | 1743 South1st Street, Milwaukee, WI 53204 | 2015-12-23 |
| 1215336599 | Marsha Vann | Counselor | 1028 N 9th St, Milwaukee, WI 53204 | 2014-08-22 |
| 1891109260 | Melissa Bendever | Counselor | 1111 South 6th Street, Milwaukee, WI 53204 | 2014-06-13 |
| 1942585823 | Theresa Marie Hintze | Counselor | 600 W Virginia Atlas Ste 203, Milwaukee, WI 53204 | 2011-10-11 |
| 1922395151 | Palmas & Ram Rudra LLC | Chiropractor | 1247 S. Cesar E. Chaves Drive, Milwaukee, WI 53204 | 2011-07-08 |
| 1225355183 | Victoria A White | Family Medicine | 16th Street Community Health Center, 1032 S Cesar E. Chavez Drive, Milwaukee, WI 53204 | 2010-04-30 |
| 1174850499 | Dnt Associates Inc. | Dentist | 710 W. Historic Mitchell St., Mitchell Street Dental, Milwaukee, WI 53204 | 2009-11-06 |
| 1851559124 | Michael L Kitzinger | Social Worker | 1201 W Historic Mitchell St, Milwaukee, WI 53204 | 2008-05-23 |
| 1083778781 | Douglas Ralph Higbie | Psychologist | 634 W Mitchell St, Milwaukee, WI 53204 | 2006-12-20 |
| 1013019413 | Romeo C Lo Md | Internal Medicine | 1672 S 9th St, 2nd Floor, Milwaukee, WI 53204 | 2006-09-05 |
| Find all providers in zip 53204 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538202262 | Pamela Charlene Prince | Nurse Practitioner | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2007-02-14 |
| 1730744533 | Ashley Marie Boehrig | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-05-07 |
| 1902334899 | Ashley Elizabeth Fraundorf | Nurse Practitioner | 1710 S 7th St Ste 300, Milwaukee, WI 53204-3538 | 2017-05-23 |
| 1497206916 | Carissa Aboubakare | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2016-10-19 |
| 1710304464 | Sara Beringer | Nurse Practitioner | 302 N Jackson St, Milwaukee, WI 53202-5904 | 2014-03-19 |
| 1447694518 | Julie Marie Grachan | Nurse Practitioner | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2013-04-19 |
| 1831468461 | Meghan A Ritchie | Nurse Practitioner | 9200 W Wisconsin Ave, Dept of Obstetrics and Gynecology, Milwaukee, WI 53226-3522 | 2011-12-28 |
| 1659660017 | Elizabeth M Vanasten | Nurse Practitioner | 3070 N 51st St, Suite 601, Milwaukee, WI 53210-1645 | 2011-04-06 |
| 1477889616 | Jamie L Neary | Nurse Practitioner | 9200 W Wisconsin Ave, Dept of Obstetrics and Gynecology, Milwaukee, WI 53226-3522 | 2009-10-22 |
| 1780820332 | Deborah Sinclair Black | Nurse Practitioner | 2356 S 102nd St, Milwaukee, WI 53227-2104 | 2009-01-05 |
| Find all providers in MILWAUKEE | ||||
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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.