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NPI Code Detail

MEDICARE: ROWAN NEILL RN

MEDICARE: ROWAN NEILL RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse13236812-3102UT

General Provider Information

NPI Number : 1467311951
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROWAN NEILL RN
Provider Business Mailing Address
First Line : 264 E 2700 S
Second Line :
City : SOUTH SALT LAKE
State : UT
Zip : 84115-3235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 N MEDICAL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-581-2004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ ROWAN NEILL RN” Practice Location

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