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Contact Information

DESAREE FOWLER, PNP-PC
672 W 400 S STE 101
SPRINGVILLE, UT84663-3170
 Phone: 801-491-9883
 Fax: 801-489-3141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DESAREE FOWLER · (Female)

NPI # 1124566179
Status Active
Credentials PNP-PC
Entity Individual
Enumeration date 02/09/2017
Last updated 10/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CNP-03137
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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