National Provider Identifier
Diana Fowler
Diana Fowler is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Clyde, NY and a listed phone number of (315) 923-3640.
Profile Overview
- NPI
- 1043556434
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- December 12, 2012
- Last Updated
- September 28, 2022
Practice Location
- 4 West Genesee Street
- Clyde, NY 14433
Phone: (315) 923-3640
Mailing Address
- 4 W Genesee St
- Clyde, NY 14433-1126
Specialties
- Family Nurse Practitioner (363LF0000X)
Endpoints
- Diana.Fowler@rochesterregional.org
Direct Messaging Address | Newark, NY 14513
Full Record
- NPI
- 1043556434
- Entity Type
- Individual
- Last Name
- Fowler
- First Name
- Diana
- Mailing Street Address
- 4 W Genesee St
- Mailing City
- Clyde
- Mailing State
- NY
- Mailing ZIP Code
- 14433-1126
- Mailing Country
- US
- Mailing Phone
- (315) 923-3640
- Practice Street Address
- 4 West Genesee Street
- Practice City
- Clyde
- Practice State
- NY
- Practice ZIP Code
- 14433
- Practice Country
- US
- Practice Phone
- (315) 923-3640
- Enumeration Date
- December 12, 2012
- Last Updated
- September 28, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 28, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)