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NPI Code Detail

MEDICARE: AMY L STOWE ACNP-BC

MEDICARE: AMY L STOWE ACNP-BC
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
1363LA2100XAcute Care Nurse Practitioner283554-4405UT

General Provider Information

NPI Number : 1649429887
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY L STOWE ACNP-BC
Provider Business Mailing Address
First Line : 5121 COTTONWOOD ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-5701
Country : US
Telephone Number : 801-507-6475
Fax Number :
Provider Business Practice Location Address
First Line : 5121 COTTONWOOD ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-5701
Country : US
Telephone Number : 801-507-6475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 12/09/2025

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