Malli Fowler, is a
Student In An Organized Health Care Education/training Program based in Cary, North Carolina. Malli Fowler is licensed to practice in * (Not Available) (license number ) and her current practice location is
110 Canberra Ct, Cary, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 724-7139.
NPI number for Malli Fowler is 1356075352 and her current mailing address is 110 Canberra Ct, Cary, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356075352.
Provider's Profile
Full Name | Malli Fowler |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 110 Canberra Ct, Cary, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356075352
- Provider Enumeration Date: 07/14/2022
- Last Update Date: 07/14/2022
Medical Identifiers
Medical identifiers for Malli Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356075352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Malli Fowler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Malli Fowler, 110 Canberra Ct, Cary, NC 27513-2923 Ph: () - | Malli Fowler, 110 Canberra Ct, Cary, NC 27513-2923 Ph: (919) 724-7139 |
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