Provider Demographics
NPI:1538472642
Name:FOWLER, ANGELICA ALMEIDA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ANGELICA
Middle Name:ALMEIDA
Last Name:FOWLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ROCKY HILL RD
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-4113
Mailing Address - Country:US
Mailing Address - Phone:978-388-9213
Mailing Address - Fax:
Practice Address - Street 1:21 ROCKY HILL RD
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-4113
Practice Address - Country:US
Practice Address - Phone:978-388-9213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-17
Last Update Date:2010-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN69493164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse