Individual
TINA CHANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
604 E 1300 S, SLC, UT 84105-1113
(801) 448-3365
Mailing address
604 E 1300 S, SLC, UT 84105-1113
(801) 448-3365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7777443-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2022
Last updated
02/17/2023
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