Individual
TARA DAWN COLLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5587 W HIDDEN DR, HIGHLAND, UT 84003-9139
(801) 836-0628
Mailing address
275 W 200 N, LINDON, UT 84042-5009
(801) 836-0628
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
48497794405
UT
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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