Mandi Lou Tanner is a Family Nurse Practitioner based in Farr West, UT and is specialized in Family. Mandi Lou Tanner practices in Farr West, UT and has the professional credentials of APRN. The NPI Number for Mandi Lou Tanner is 1598434953 and holds a License No. 4807317-4405 (Utah).
The current practice location address for Mandi Lou Tanner is 2512 W 2725 N, Farr West, UT and can be reached out via phone at 801-309-6285 and via fax at 801-820-0401.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260022408 | 01 | UT | RAILROAD MEDICARE |
| 000055266 | 01 | UT | MEDICARE PIN |
| 4807317-4405 | 01 | UT | APRN LICENSE |
| 8760003008007 | 05 | UT | |
| 4807317-8900 | 01 | UT | CONTROLLED SUBSTANCE LICENSE |
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