person
Tack D Macgregor, REGISTEREDNURSE
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Provo, Utah
NPI 1659914356

Tack D Macgregor is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Provo, UT and is specialized in Psychiatric/Mental Health, Child & Adolescent. Tack D Macgregor practices in Provo, UT and has the professional credentials of REGISTEREDNURSE. The NPI Number for Tack D Macgregor is 1659914356 and holds a License No. 5554957-3102 (Utah).

The current practice location address for Tack D Macgregor is 4501 N University Ave, Provo, UT and can be reached out via phone at 801-932-2582. You can also correspond with Tack D Macgregor through the mailing address at 4501 N UNIVERSITY AVE, PROVO, UT - 84604-5504 (mailing address contact number: ).

Location: 4501 N University Ave, Provo, UT, 84604-5504
person
Provider Profile Details
NPI Number
1659914356
Provider Name
Tack D Macgregor
Credential
REGISTEREDNURSE
Provider Entity Type
Individual
Gender
Male
Address
4501 N University Ave, Provo, UT, 84604-5504
Phone Number
801-932-2582
Fax Number
Provider Enumeration Date
10/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4501 N University Ave
City
State
Zip
84604-5504
Phone Number
801-932-2582
Fax Number
person
Provider Business Mailing Address Details
Address
4501 N University Ave
City
State
Zip
84604-5504
Phone Number
801-932-2582
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
5554957-3102 (Utah)
Definition
Definition to come...
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