Individual
TANYA SARAH BOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-4691
Mailing address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 725-2015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7849169-4405
UT
Other
Enumeration date
07/23/2019
Last updated
07/28/2019
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