Individual
SPENCER NICHOLAUS LOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
270 S MAIN ST STE 104, BOUNTIFUL, UT 84010-6249
(801) 683-9340
Mailing address
576 CHURCHILL DR, CENTERVILLE, UT 84014-2614
(801) 867-5693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10875894-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10875894-4405
UT
Other
Enumeration date
08/22/2018
Last updated
11/19/2024
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