Ami Kathleen Kowalski, LNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Holloman Afb, NM
NPI 1588213664 · NPPES record last updated Sep 13, 2022
Key facts
- NPI
- 1588213664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024177698 (VA)
- Practice address
- 3063 White Sands CT
Holloman Afb, NM 88330-8132 - Phone
- (603) 508-1234
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024177698 | VA | Yes |
Addresses
Primary practice location
3063 White Sands CT
Holloman Afb, NM 88330-8132
Mailing address
3063 White Sands CT
Holloman Afb, NM 88330-8132
Phone (603) 508-1234
Other practice location 1
1497 Anne Burras Ave
Langley AFB, VA 23665-2410
Phone (603) 508-1234
Other practice location 2
13000 Warwick Blvd
Newport News, VA 23602-8340
Phone (757) 269-0136
Other names
- Ami Kathleen Fuller
Other providers in Holloman Afb, NM
- Tialicka Burgos Johnson
- Tomeka Lashon Jones
- Ashley Nicole Kilby
- Abigail Marie Kildow
- Caitlin Knutson
- Anastasiia Kviatkivska
- Bryan Thomas Landro
- Mark Leon
- Guyu Liu
- Helen Liu
All providers in Holloman Afb, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.