Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Amanda Bowen

Individual provider Nurse Practitioner · NPI 1104754688

Amanda Bowen is a Nurse Practitioner in Burley, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

1408 Pomerelle Ave Ste H
Burley, ID 83318-2068
Phone: (208) 677-6170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 59123 (ID)

Record details

NPI number1104754688
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026

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