Elaine Bowman

Individual provider Active NPI Case Manager/Care Coordinator · Kanab, UT

NPI 1194056754 · NPPES record last updated Jan 21, 2010

Key facts

NPI
1194056754
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
310 S 100 E Ste 11
Kanab, UT 84741-3632
Phone
(435) 644-4520
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

310 S 100 E Ste 11
Kanab, UT 84741-3632

Mailing address

522 N 140 E
Kanab, UT 84741-3300
Phone (435) 644-5153

Other providers in Kanab, UT

All providers in Kanab, UT · Case Manager/Care Coordinator in Utah

Sources for this page

Verify at the official NPI Registry.