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Mary Tanner, NP
Family Nurse Practitioner in Orem, Utah
NPI 1558045583

Mary Tanner is a Family Nurse Practitioner based in Provo, UT and is specialized in Family. Mary Tanner practices in Orem, UT and has the professional credentials of NP. The NPI Number for Mary Tanner is 1558045583 and holds a License No. 10834924-4405 (Utah).

The current practice location address for Mary Tanner is 720 N 530 E, Orem, UT and can be reached out via phone at 385-498-7506.

Location: 720 N 530 E, Orem, UT, 84604-1704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558045583
Provider Name
Mary Tanner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
720 N 530 E, Orem, UT, 84604-1704
Phone Number
385-498-7506
Fax Number
Provider Enumeration Date
06/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
720 N 530 E
City
Orem
State
Utah
Zip
84097-4104
Phone Number
385-498-7506
Fax Number
person
Provider Business Mailing Address Details
Address
720 N 530 E
City
Orem
State
Utah
Zip
84097-4104
Phone Number
385-498-7506
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10834924-4405 (Utah)
Definition
Definition to come...
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