Individual
TANYA MARIE FORSYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3197 W 2650 N, CLINTON, UT 84015-7798
(801) 403-3170
Mailing address
3197 W 2650 N, CLINTON, UT 84015-7798
(801) 403-3170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9134993-4405
UT
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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