IndividualActive
Amanda Bowen
NPI 1104754688 · Student in an Organized Health Care Education/Training Program · Burley, ID
Provider details
- NPI number
- 1104754688
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
1408 Pomerelle Ave Ste H
Burley, ID 83318-2068
Phone: (208) 677-6170
Approximate (ZIP-level) locationGet directions
Mailing address
2410 Dorchester Ave
Burley, ID 83318-2526
Registry dates
- Enumerated
- 2026-05-13
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.