AMANDA BOWEN
NPI 1104754688
Student in an Organized Health Care Education/Training Program in Burley, ID

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: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Bowen NPPES

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

AMANDA BOWEN (NPI 1104754688) is an individual student in an organized health care education/training program in Burley, Idaho and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1104754688
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA BOWEN
Location Address1408 POMERELLE AVE STE HBurley, ID 83318-2068
Mailing Address2410 Dorchester AveBurley, ID 83318-2526 · (208) 312-3207
Sole ProprietorNo
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
NPI 1104754688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1408 POMERELLE AVE STE H, Burley, ID 83318

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.

Advanced Practice Midwife
1408 POMERELLE AVE STE H
BURLEY, ID 83318
Advanced Practice Midwife
1408 POMERELLE AVE STE H
BURLEY, ID 83318
Physician Assistant
1408 POMERELLE AVE STE H
BURLEY, ID 83318
Nurse Practitioner (Family)
1408 POMERELLE AVE STE H
BURLEY, ID 83318
Specialist
1408 POMERELLE AVE STE H
BURLEY, ID 83318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Amanda Bowen located?

Amanda Bowen practices at 1408 Pomerelle Ave Ste H, Burley, ID 83318. The listed phone number is (208) 677-6170.

What is Amanda Bowen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Bowen was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.