Individual
TANNER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
50 N MEDICAL DR RM P4400, SALT LAKE CITY, UT 84132-0001
(801) 587-9733
(801) 581-2195
Mailing address
50 N MEDICAL DR RM P4400, SALT LAKE CITY, UT 84132-0001
(801) 587-9733
(801) 581-2195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7654256-4405
UT
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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