Desaree Fowler, PNP-PC
Desaree Fowler, PNP-PC is a Nurse Practitioner in Springville, Utah. Qualified in 2016, 10 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 10
- Licensed in
- NM
- In the registry since
- 2017
Practice location Address checks out
672 W 400 S Ste 101Springville, UT 84663-3170
Phone: (801) 491-9883
Fax: (801) 489-3141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence CNP-03137 (NM) |
|---|
Record details
| NPI number | 1124566179 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PNP-PC |
| Sole proprietor | No |
| NPI enumerated | February 9, 2017 |
| Last updated in NPPES | October 16, 2023 |
| Certification date | October 16, 2023 |
| Mailing address | 1055 N 500 W, Attn. Credentialing, Provo, UT 84604 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Springville
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McKenna Clawson, APRN
672 W 400 S Ste 101, Springville, UT 84663-3170 · (801) 491-9883