| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHELBY SUE BOWMAN | 1083300636 | 2024-06-09 |
Shelby Sue Bowman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083300636. Registration indicates Shelby Sue Bowman is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Shelby Sue Bowman NP |
| Practice Office Address | 14176 S WEMBLEY CIR HERRIMAN, UT US |
| Practice Office Telephone | 8014136307 |
| Mailing Address | 1840 S 1300 E SALT LAKE CITY, UT 841053697 US |
| Business Telephone | 8018322200 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1840 S 1300 E | Salt Lake City, UT 841053697 | 8018322200 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 11305254-4405
UT |
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |