Nurse Practitioner
AMANDA BOWEN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1104754688 · enumerated 2026-05-13 · record updated 2026-09-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MANDI BOWEN
Addresses and phones
- Mailing address PO BOX 30180, SALT LAKE CITY, UT, 84130-0180 Google Maps Apple Maps OpenStreetMap
- Practice location 1408 POMERELLE AVE STE H, BURLEY, ID, 83318-2068 (208) 677-6170 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary · License 59123 ID
Published links
In this directory
Locations and evidence
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Practice location
BURLEY, ID, 833182068
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.