Individual provider · Type 1 NPI
Desaree Fowler, PNP-PC
Pediatric Nurse Practitioner · Springville, UT
NPI number
1124566179
Active
Practice location
672 W 400 S Ste 101
Springville, UT 84663-3170
Fax (801) 489-3141
Mailing address
1055 N 500 W, Attn. Credentialing
Provo, UT 84604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | CNP-03137 (NM) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Springville
About NPI 1124566179
Desaree Fowler, PNP-PC's National Provider Identifier is 1124566179, issued on Feb 9, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Springville, UT. The record was last updated on Oct 16, 2023.