Individual provider · Type 1 NPI

Tack D. Macgregor, REGISTERED NURSE

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Provo, UT

NPI number 1659914356 Active

Practice location

4501 N University Ave
Provo, UT 84604-5504

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X5554957-3102 (UT)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1659914356

Tack D. Macgregor, REGISTERED NURSE's National Provider Identifier is 1659914356, issued on Oct 25, 2019. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Provo, UT. The record was last updated on Oct 25, 2019.