Kamelia Burrell-Fowler, FNP
Nurse Practitioner in Saint Joseph, MI. Individual provider (NPI-1).
NPI number1528633898
StatusActive
Last updated in NPPESSep 2, 2025
Details
- NPI
- 1528633898
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kamelia Burrell-Fowler
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2021
- Certification date
- Sep 2, 2025
- Last updated
- Sep 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704397655 | MI | Yes |
| 363LF0000X | Nurse Practitioner, Family | 4704397655 | MI | |
| 363LF0000X | Nurse Practitioner, Family | 0024181262 | VA |
Practice location
3950 Hollywood Rd Ste 270Saint Joseph, MI 49085-9158
Phone 269-983-0500 · Fax 269-429-2240
Mailing address
3950 Hollywood Rd Ste 270Saint Joseph, MI 49085-9158
Phone 269-983-0500 · Fax 269-429-2240
Other practice locations
1452 Chain Bridge Rd
Mc Lean, VA 22101-3706
Mc Lean, VA 22101-3706
Phone 703-307-8235
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