Carla J Fowler, CRNA | |
10382 Augusta Dr, Sauk Centre, MN 56378-4864 | |
(320) 351-8422 | |
Not Available |
Full Name | Carla J Fowler |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 10382 Augusta Dr, Sauk Centre, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386912939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | R160100-0 (Minnesota) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 112 (Minnesota) | Primary |
Entity Name | Lakewood Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411 |
Entity Name | Centracare Health System - Melrose |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
Mailing Address | Practice Location Address |
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Carla J Fowler, CRNA 460 River St W, Holdingford, MN 56340-4519 Ph: (320) 248-2904 | Carla J Fowler, CRNA 10382 Augusta Dr, Sauk Centre, MN 56378-4864 Ph: (320) 351-8422 |
Sherree Lee Engen, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 39595 County Road 17, Sauk Centre, MN 56378 Phone: 320-351-8513 | |
Mr. Kevin Elmer Zimmer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 425 Elm St N, Sauk Centre, MN 56378 Phone: 320-352-2221 | |
Mrs. Leah Jedlicki, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10382 Augusta Dr, Sauk Centre, MN 56378 Phone: 320-351-8422 |