MS. DARETH ELIZABETH FOWLER


Address: 709 Deerfield Trl, Springfield, OH 45503-7445
Phone: 6147460440

MS. DARETH ELIZABETH FOWLER (NPI# 1649828120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649828120
Entity Type Individual
Full Name MS. DARETH ELIZABETH FOWLER
Practice Address 709 Deerfield Trl
Springfield
OH 45503-7445
Practice Telephone 6147460440
Enumeration Date 2019-08-28
Last Update Date 2019-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
APRN.NP.024987 OH Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
APRN.NP.024987 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 709 DEERFIELD TRL
City SPRINGFIELD
State OH
Zip Code 45503-7445

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1306123112 David P. Comer Physician Assistant 2600 N Limestone St Fl 2, Springfield, OH 45503 2011-11-08
1689953564 Family Dental Care Dentist 1240 E. Main St, Springfield, OH 45503 2011-08-10
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316565989 Melanie Phillips Nurse Practitioner 140 W Main St Ste 100, Springfield, OH 45502-1369 2020-07-10
1578824983 Daisy Seby Nurse Practitioner 86 Redwood Rd, Springfield, NJ 07081-2426 2012-06-01
1760741714 Mini Jijo Nurse Practitioner 884 South Springfield Ave, #39, Springfield, NJ 07081-3314 2012-05-11
1326218843 Laura Ann Reed Nurse Practitioner 30 W Mccreight Ave Ste 100, Springfield, OH 45504 2008-03-12
1669442182 Lisa Erickson Nurse Practitioner 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 2006-01-26
1225639131 Rachel M Carr Nurse Practitioner 3300 Main St, Springfield, MA 01107-1112 2020-11-06
1902411424 Samantha Gillespie Nurse Practitioner 1460 G St, Springfield, OR 97477-4112 2020-09-11
1649898065 Jaines Milagros Andrades Nurse Practitioner 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 2020-07-13
1487288171 Pamela Lomeli Nurse Practitioner 319 E Madison St Ste 1f, Springfield, IL 62701-3118 2020-03-03
1093347890 Jacquelyn Nicole Feeley Nurse Practitioner 759 Chestnut St, Springfield, MA 01107-1619 2020-02-10
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Competitor

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City SPRINGFIELD
Zip Code 45503

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Dataset Information

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.

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