Provider Demographics
NPI:1164706180
Name:FOWLOW, ALISON MICHELLE (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:MICHELLE
Last Name:FOWLOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 28TH ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-2339
Mailing Address - Country:US
Mailing Address - Phone:724-846-5785
Mailing Address - Fax:
Practice Address - Street 1:724 PERSHING ST
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-1474
Practice Address - Country:US
Practice Address - Phone:724-752-6864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011659363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily