Individual provider · Type 1 NPI

Dayne Tattersall, FNP-C

Primary Care Nurse Practitioner · Salt Lake City, UT

NPI number 1568080661 Active

Practice location

500 Foothill Blvd
Salt Lake City, UT 84148-8524

Call (801) 584-1205 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X8588367-4405 (UT)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1568080661

Dayne Tattersall, FNP-C's National Provider Identifier is 1568080661, issued on Jul 6, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 13, 2023.