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Individual

TAVIA MICHELE FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CRNA

Contact information

Practice address
3000 N TRIUMPH BLVD, LEHI, UT 84043-7186
(385) 345-3000
Mailing address
3000 N TRIUMPH BLVD, LEHI, UT 84043-7186
(385) 345-3000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10380625-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
10380625-4406
UT

Other

Enumeration date
03/05/2025
Last updated
03/21/2025
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