Ty-Tiona N Fowler
Licensed Practical Nurse in Muskogee, OK. Individual provider (NPI-1).
NPI number1326750100
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1326750100
- Entity type
- Individual (NPI-1)
- Name
- Ty-Tiona N Fowler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2022
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | L0069953 | OK | Yes |
Practice location
619 N Main StMuskogee, OK 74401-4431
Phone 918-682-8407
Mailing address
619 N Main StMuskogee, OK 74401-4431
Phone 918-682-8407
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All 43 Licensed Practical Nurse providers in Muskogee · All 2,229 providers in Muskogee
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