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1225819394
TANYA L FOWLER
WILMINGTON, NC
NPI
1225819394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 193358)
Enumeration Date
2023-10-13
Last Update Date
2024-04-25
Business Address
TANYA L FOWLER PMHNP-BC
313 WALNUT ST STE 110
WILMINGTON, NC 28401-4063
Phone number: 910-668-0268
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Mailing Address
TANYA L FOWLER PMHNP-BC
554 KELLY RD
WILMINGTON, NC 28409-3160
Phone number: 910-388-4716
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