Provider Demographics
NPI:1164301016
Name:FOWLER, PAMELA L (RN)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:L
Last Name:FOWLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 SUNNY HILL DR
Mailing Address - Street 2:
Mailing Address - City:COLDSPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77331-3225
Mailing Address - Country:US
Mailing Address - Phone:346-988-6794
Mailing Address - Fax:
Practice Address - Street 1:2503 LAKE RD STE A-104
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-5737
Practice Address - Country:US
Practice Address - Phone:346-799-0217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty