Tami Louise Fowler | Rochester, NY • PECOS Search

Tami Louise Fowler

Licensed Practical Nurse

Nursing Service Providers

11 Lacroix Court Dr, Rochester, NY 14609-1565

PECOS Enrollment

Based on the most recent information from CMS, provider Tami Louise Fowler does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:33 PM.

Profile Details

Provider ID
1578915567
Provider Type
Individual
Full Name
Fowler, Tami Louise
Credential
LPN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/1/2016
Last Updated
7/1/2016

Contact Information

Practice Location

11 Lacroix Court Dr, Rochester, NY 14609-1565

Unlisted Fax

Mailing Location

11 Lacroix Court Dr, Rochester, NY 14609-1565

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 228045 New York