Individual provider · Type 1 NPI

Minerva Abeleda Dantis-Tan, FNP-BC

Nurse Practitioner · Salt Lake City, UT

NPI number 1164715124 Active

Practice location

650 E 4500 S, Ste 210
Salt Lake City, UT 84107-4520

Fax (801) 288-1186

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5291704-4405 (UT)
Nurse Practitioner Primary 363L00000X5291704-4405 (UT)

Nurse Practitioner: (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 wit…

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About NPI 1164715124

Minerva Abeleda Dantis-Tan, FNP-BC's National Provider Identifier is 1164715124, issued on May 24, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 25, 2021.