Deirdre Vyvyan Fowler, RN-NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

76688-030 Issued in WI

Practice address

1710 S 7TH St
Milwaukee, WI 53204-3538

Phone

(414) 645-8383

Fax

(414) 645-8803

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194939918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 N BARTLETT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113025",
            "telephone_number": "414-332-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S 7TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043538",
            "telephone_number": "414-645-8383",
            "fax_number": "414-645-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "DEIRDRE",
        "middle_name": "VYVYAN",
        "name_prefix": "Ms.",
        "credential": "RN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "76688-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheldon Fountain
• Four Pillars Wellness
• Garrett Fouth
• Renee A Foutz, MD
• Curtis Wilhite Fowler, MD
• Faye H Fowler, RDH
• Mitchell James Fowler, PA
• Sharon Fowler, LPN
• Yovonne Fowler, M.S.W.
• Marlow Fowlkes-Ware

• Women's Health Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Women's Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.