Individual provider · Type 1 NPI
Mary Tanner, NP
Family Nurse Practitioner · Orem, UT
NPI number
1558045583
Active
Practice location
720 N 530 E
Orem, UT 84097-4104
Mailing address
1109 N Temple Dr
Provo, UT 84604-1704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10834924-4405 (UT) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1558045583
Mary Tanner, NP's National Provider Identifier is 1558045583, issued on Jun 12, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orem, UT. The record was last updated on Jun 12, 2023.