Madre Lynnelle Fowler-Mcdonald
Nurse's Aide in Durham, NC. Individual provider (NPI-1).
NPI number1689726838
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1689726838
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Madre Lynnelle Fowler-Mcdonald
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | HC3534 | NC | Yes |
Practice location
615 E Lawson StDurham, NC 27701-4533
Phone 919-604-3734 · Fax 616-620-0671
Mailing address
Po Box 11091Durham, NC 27703-0091
Phone 919-604-3734 · Fax 919-620-0671
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