IndividualActive
Tracy Fowler, APRN/PNP
NPI 1801201173 · Pediatric Nurse Practitioner · Liberal, KS
Provider details
- NPI number
- 1801201173
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN/PNP
- Sex
- Female
- Sole proprietor
- No
- License
- 5376397 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
555 W 15th St Ste a
Liberal, KS 67901-2461
Phone: (620) 624-0702
Fax: (620) 624-2513
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1215
Liberal, KS 67905-1215
Registry dates
- Enumerated
- 2014-06-25
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.