MANDI LOU TANNER APRN NPI 1598434953

NPI Information

NPI: 1598434953
Provider Name: MANDI LOU TANNER, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2512 W 2725 N
FARR WEST, UT
ZIP 84404
Phone: (801) 309-6285
Get Directions

Mandi Lou Tanner, APRN is a family nurse practitioner in Farr West, UT. Mandi Lou Tanner, APRN NPI is 1598434953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2512 W 2725 N
FARR WEST, UT
ZIP 84404-469
Phone: (801) 309-6285
Fax: (801) 820-0401

The enumeration date for this NPI number is 9/9/2021 and was last updated on 4/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4807317-4405	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	260022408	OTHER	UTAH	RAILROAD MEDICARE
2	4807317-4405	OTHER	UTAH	APRN LICENSE
3	000055266	OTHER	UTAH	MEDICARE PIN
4	8760003008007	MEDICAID	UTAH
5	4807317-8900	OTHER	UTAH	CONTROLLED SUBSTANCE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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