Individual
TEGAN GRUNWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3115 E LION LN STE 160, SALT LAKE CITY, UT 84121
(855) 255-1750
(855) 255-0905
Mailing address
2177 S NOWELL CIR, SALT LAKE CITY, UT 84115-2869
(541) 760-0032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12627832-4405
UT
Other
Enumeration date
03/01/2025
Last updated
09/11/2025
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