Individual provider · Type 1 NPI

Anita Bowles Brandow

Nurse Practitioner · Provo, UT

NPI number 1306663497 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Fax (801) 370-9061

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000X9697380-4405 (UT)
Critical Care Neonatal Nurse Practitioner 363LN0005X9697380-4405 (UT)
Nurse Practitioner Primary 363L00000X9697380-4405 (UT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1306663497

Anita Bowles Brandow's National Provider Identifier is 1306663497, issued on Sep 20, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Provo, UT. The record was last updated on Jun 25, 2026.