| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANGELA VU FOWLER | 1710504949 | 2020-07-03 |
Angela Vu Fowler is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710504949. Registration indicates Angela Vu Fowler is a provider of access to pediatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Pediatrics, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Angela Vu Fowler CPNP-PC |
| Other Provider Name | Angela Vu |
| Practice Office Address | 300 LONGWOOD AVE BOSTON, MA US |
| Practice Office Telephone | 6177047950 |
| Mailing Address | 300 LONGWOOD AVE BOSTON, MA 021155724 US |
| Professionalisms Email [NA] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 363LP0200X PRIMARY | Access to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics All Other Specialties & Provider Types Nurse Practitioner Pediatrics Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RN2322617
MA |