Individual
MRS. CAROL B TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
45 S MOUNTAIN RD, FRUIT HEIGHTS, UT 84037-2313
(801) 726-1340
Mailing address
45 S MOUNTAIN RD, FRUIT HEIGHTS, UT 84037-2313
(801) 726-1340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2043774406
UT
Other
Enumeration date
12/15/2006
Last updated
12/16/2021
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