Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA BOWEN
NPI 1104754688
Nurse Practitioner in Burley, ID

Q: What is Amanda Bowen's NPI number?

The NPI number for Amanda Bowen is 1104754688. It was assigned to this individual provider in the NPPES registry on May 13, 2026. The provider is also known as Mandi Bowen.

Q: What is Amanda Bowen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Bowen was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2026

1408 POMERELLE AVE STE H, BURLEY, ID 83318(208) 677-6170 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, May 13, 2026 (2 updates tracked since 2026).

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About Amanda Bowen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA BOWEN (NPI 1104754688) is an individual nurse practitioner in Burley, Idaho, licensed in Idaho (59123) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104754688

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMANDA BOWEN

Location Address1408 POMERELLE AVE STE HBurley, ID 83318-2068

Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180

Phone(208) 677-6170

Sole ProprietorNo

Enumeration DateMay 13, 2026

Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1104754688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · 59123

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1408 POMERELLE AVE STE H, Burley, ID 83318

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Other Names 1

Other Name (5)Mandi Bowen

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CINNEAMON LEE GEPPELT CNM, WHNP

Advanced Practice Midwife