Individual
JANE DAHLE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, APRN-BC
Contact information
Practice address
2155 E TERRA LINDA DR, SALT LAKE CITY, UT 84124-2762
(801) 647-2630
Mailing address
2155 E TERRA LINDA DR, SALT LAKE CITY, UT 84124-2762
(801) 647-2630
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
9016215-4402
UT
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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