Individual
AUBRIE DAWN TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-1000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(435) 225-3312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11839384-4405
UT
363L00000X
Nurse Practitioner
Primary
11839384-4405
UT
363LF0000X
Family Nurse Practitioner
11839384-4405
UT
Other
Enumeration date
09/23/2020
Last updated
11/26/2025
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