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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA MAE LORENE FOWLER TEST

Active Sole Proprietor

AMANDA MAE LORENE FOWLER TEST is a Community Health Worker healthcare provider located in GOREVILLE, Illinois. NPI 1013611797 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · GOREVILLE, IL

Registration Details

NPI Number
1013611797
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2023 (3.4208693765691 yrs)
Last Updated
Mar 28, 2023
Sole Proprietor
Yes

Practice Information

Address
207 KING CIR
GOREVILLE, IL, 629390020
Browse IL providers · Browse ZIP 62939
Phone
6186638336
Primary Specialty
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.