Provider Demographics
NPI:1245365360
Name:BOWLES, PATTI (RN)
Entity type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:
Last Name:BOWLES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 EAST 850 NORTH
Mailing Address - Street 2:
Mailing Address - City:NEPHI
Mailing Address - State:UT
Mailing Address - Zip Code:84648
Mailing Address - Country:US
Mailing Address - Phone:435-623-0696
Mailing Address - Fax:435-623-0696
Practice Address - Street 1:160 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NEPHI
Practice Address - State:UT
Practice Address - Zip Code:84648-1412
Practice Address - Country:US
Practice Address - Phone:435-623-0696
Practice Address - Fax:435-623-0696
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT147071-3102163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health