Individual
TEGAN ELIZABETH SPANGRUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1250 E 3900 S STE 260, SALT LAKE CITY, UT 84124-1371
(801) 265-2000
Mailing address
1018 W RAMBLER DR, SALT LAKE CITY, UT 84116-2230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9415641-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
9415641-4405
UT
Other
Enumeration date
06/14/2022
Last updated
11/08/2024
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