Organization
NORTHERN VALLEY FAMILY MEDICINE
Active
Organization
NORTHERN VALLEY FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LYNN TAGG FNP (OWNER)
(801) 557-5024
Entity
Organization
Contact information
Practice address
550 N MAIN ST STE 117, LOGAN, UT 84321-3984
(435) 265-1675
(800) 549-9403
Mailing address
415 W 3400 S, NIBLEY, UT 84321-6461
(801) 557-5024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
06/30/2026
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