Brandon Ray Fowler, LPN is a 
Licensed Practical Nurse based in Highland, Utah. Brandon Ray Fowler is licensed to practice in Utah (license number 6581184-3101) and his current practice location is 
9675 N 5750 W, Highland, Utah. He can be reached at his office (for appointments etc.) via phone at 
(801) 369-0003.
NPI number for Brandon Ray Fowler is 1588097521 and his current mailing address is 9675 N 5750 W, Highland, Utah. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588097521.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Brandon Ray Fowler | 
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| Gender | Male | 
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| Speciality | Licensed Practical Nurse | 
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| Location | 9675 N 5750 W, Highland, Utah | 
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1588097521
 - Provider Enumeration Date: 08/13/2013
 - Last Update Date: 08/13/2013
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Brandon Ray Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1588097521 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 164W00000X | Licensed Practical Nurse  | 6581184-3101 (Utah) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandon Ray Fowler is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Brandon Ray Fowler, LPN 9675 N 5750 W, Highland, UT 84003-9150 Ph: (801) 369-0003 | Brandon Ray Fowler, LPN 9675 N 5750 W, Highland, UT 84003-9150 Ph: (801) 369-0003 | 
		
		 
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