| Krystle Elecia Fowlin, LPN | |
|
2808 Tulip Ave, Baldwin, NY 11510-4237 | |
| (516) 325-6529 | |
| Not Available |
| Full Name | Krystle Elecia Fowlin |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2808 Tulip Ave, Baldwin, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932670015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 297306 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Krystle Elecia Fowlin, LPN 2808 Tulip Ave, Baldwin, NY 11510-4237 Ph: (516) 325-6529 | Krystle Elecia Fowlin, LPN 2808 Tulip Ave, Baldwin, NY 11510-4237 Ph: (516) 325-6529 |
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