Provider Demographics
NPI:1740301837
Name:ROWLEY, MARCELLA (FNP)
Entity type:Individual
Prefix:
First Name:MARCELLA
Middle Name:
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1273 W 12600 S
Mailing Address - Street 2:#402
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84065-7111
Mailing Address - Country:US
Mailing Address - Phone:801-254-4600
Mailing Address - Fax:801-254-9670
Practice Address - Street 1:1420 W 12600 S STE 102
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7080
Practice Address - Country:US
Practice Address - Phone:801-254-4600
Practice Address - Fax:801-254-9670
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT217400-4405363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care