Individual
TERRA BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
450 S 900 E STE 175, SALT LAKE CITY, UT 84102-2981
(801) 698-2098
Mailing address
450 S 900 E STE 175, SALT LAKE CITY, UT 84102-2981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4954081-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/07/2019
Last updated
04/19/2019
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