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Individual

ANDREA MICHELLE BOWLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1480 N 8000 W, SALT LAKE CITY, UT 84116-3961
(801) 522-7000
Mailing address
429 GOLD DUST RD, GRANTSVILLE, UT 84029-5521
(435) 262-6366

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5928741-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5928741-4405
UT

Other

Enumeration date
03/30/2021
Last updated
06/05/2025
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