Individual
AMY JO FOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4460 STONE CREEK RD UNIT B, WEST HAVEN, UT 84401-6924
(801) 781-0798
Mailing address
4460 STONE CREEK RD UNIT B, WEST HAVEN, UT 84401-6924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8003914-4405
UT
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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