Individual
ANITA BOWLES BRANDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7707
(801) 370-9061
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-7707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9697380-4405
UT
363LN0000X
Neonatal Nurse Practitioner
9697380-4405
UT
363LN0005X
Critical Care Neonatal Nurse Practitioner
9697380-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2024
Last updated
06/25/2026
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