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Individual

VALERIE TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A-GNP-C

Contact information

Practice address
2578 W 600 N, LINDON, UT 84042-1260
(801) 896-9868
Mailing address
2578 W 600 N, LINDON, UT 84042-1260
(801) 896-9868

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
5572357-4405
UT
363L00000X
Nurse Practitioner
Primary
5572357-4405
UT
363LA2200X
Adult Health Nurse Practitioner
5572357-4405
UT

Other

Enumeration date
09/14/2016
Last updated
02/06/2025
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