MATTHEW FOWLER, AGNP-C

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1053943688

Practice Address

1611 12TH AVE RD STE A
Nampa, ID 83686

Phone: (208) 546-3650

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No 63745 (ID)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 63745 (ID)

Frequently Asked Questions

NPI 1053943688 is the National Provider Identifier for MATTHEW FOWLER, AGNP-C, a Nurse Practitioner - Psychiatric/Mental Health provider located in Nampa, ID. This NPI was enumerated on February 11, 2020.
MATTHEW FOWLER, AGNP-C practices at 1611 12TH AVE RD STE A, Nampa, ID 83686.

Quick Facts

NPI
1053943688
Type
Individual
Enumerated
Feb 11, 2020
Last Updated
Sep 22, 2025

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