DESAREE FOWLER

SPRINGVILLE, UT
NPI1124566179
Former NameDESAREE FOWLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NM  CNP-03137)
Enumeration Date2017-02-09
Last Update Date2023-10-16
Business Address
DESAREE FOWLER PNP-PC
672 W 400 S STE 101
SPRINGVILLE, UT 84663-3170
Phone number: 801-491-9883
Mailing Address
DESAREE FOWLER PNP-PC
1055 N 500 W ATTN. CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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