Provider Demographics
NPI:1154946663
Name:EWART FOWLES, SCHNELL (BSN, RN)
Entity type:Individual
Prefix:
First Name:SCHNELL
Middle Name:
Last Name:EWART FOWLES
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:SCHNELL
Other - Middle Name:
Other - Last Name:EWART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN,RN
Mailing Address - Street 1:14742 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-5416
Mailing Address - Country:US
Mailing Address - Phone:914-434-6795
Mailing Address - Fax:
Practice Address - Street 1:14742 109TH AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-5416
Practice Address - Country:US
Practice Address - Phone:914-434-6795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY670269163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical