Individual
TARA ROSE AGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0002
(801) 582-1565
Mailing address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0002
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0000000
UT
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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