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Cacyce Fowler
Family Nurse Practitioner in Reform, Alabama
NPI 1457774200

Cacyce Fowler is a Family Nurse Practitioner based in Reform, AL and is specialized in Family. Cacyce Fowler practices in Reform, AL. The NPI Number for Cacyce Fowler is 1457774200 and holds a License No. 1-093244 (Alabama).

The current practice location address for Cacyce Fowler is 108 4Th Ave Sw Ste A, Reform, AL and can be reached out via phone at 205-375-6251.

Location: 108 4Th Ave Sw Ste A, Reform, AL, 35481-8018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457774200
Provider Name
Cacyce Fowler
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 4Th Ave Sw Ste A, Reform, AL, 35481-8018
Phone Number
205-375-6251
Fax Number
Provider Enumeration Date
01/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A04122A 01 AL MEDICARE
512-17004 01 AL BCBS OF ALABAMA
institution
Provider Business Practice Location Address Details
Address
108 4Th Ave Sw Ste A
City
Reform
State
Alabama
Zip
35481
Phone Number
205-375-6251
Fax Number
person
Provider Business Mailing Address Details
Address
108 4Th Ave Sw Ste A
City
Reform
State
Alabama
Zip
35481
Phone Number
205-375-6251
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-093244 (Alabama)
Definition
Definition to come...
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