# VALERIE TANNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1538617964
- **Gender:** F
- **Credential:** A-GNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 5572357-4405 | UT | — |
| 363L00000X | Nurse Practitioner | 5572357-4405 | UT | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 5572357-4405 | UT | — |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 02/06/2025