Provider Demographics
NPI:1316676604
Name:FOWLER, SARAH L (PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:FOWLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:L
Other - Last Name:CONNORS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 SIMSBURY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3793
Mailing Address - Country:US
Mailing Address - Phone:860-522-0604
Mailing Address - Fax:860-659-8077
Practice Address - Street 1:100 SIMSBURY RD STE 100
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3793
Practice Address - Country:US
Practice Address - Phone:860-522-0604
Practice Address - Fax:860-659-8077
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-10
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty