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NPI Profile for OMOLOLA FOWLER in HAGERSTOWN, MD.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1205320199 |
|
| Status | Active | |
| Credentials | FNP-BC (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/14/2018 | |
| Last updated | 01/04/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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OMOLOLA FOWLER
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OMOLOLA FOWLER, FNP-BC