Individual
CORY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, A.P.R.N., FNP-C
Contact information
Practice address
3650 N UNIVERSITY AVE STE 200, PROVO, UT 84604-6658
(801) 375-7102
(801) 375-7102
Mailing address
3650 N UNIVERSITY AVE STE 200, PROVO, UT 84604-6658
(801) 375-7102
(801) 375-7102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7867102-4405
UT
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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