Desaree Fowler, PNP-PC | |
672 W 400 S Ste 101, Springville, UT 84663-3170 | |
(801) 491-9883 | |
(801) 489-3141 |
Full Name | Desaree Fowler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 672 W 400 S Ste 101, Springville, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124566179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | CNP-03137 (New Mexico) | Primary |
Entity Name | Central Utah Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
---|---|
Desaree Fowler, PNP-PC 1055 N 500 W, Attn. Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Desaree Fowler, PNP-PC 672 W 400 S Ste 101, Springville, UT 84663-3170 Ph: (801) 491-9883 |
Erin Anna Tyrrell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 Fax: 801-798-8513 | |
Mrs. Lindsey Gray Mortensen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1806 E 250 S, Springville, UT 84663 Phone: 801-367-1490 | |
Ellen Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 677 S 950 W, Springville, UT 84663 Phone: 435-621-9335 | |
Michelle Brandt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 | |
Danielle Alair Bate, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 | |
Mrs. Nesha Burrows, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 E 400 N, Springville, UT 84663 Phone: 801-489-8464 Fax: 801-798-8513 |