Individual
TARA RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
845 E 4800 S STE 200, MURRAY, UT 84107-5041
(801) 264-9522
(801) 265-9604
Mailing address
845 E 4800 S STE 200, MURRAY, UT 84107-5041
(801) 264-9522
(801) 265-9604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7307565-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7307565-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2020
Last updated
03/23/2022
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