Individual
TALLYA LLEWELYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2295 S FOOTHILL DR, SALT LAKE CITY, UT 84109-4000
(801) 486-3021
(801) 485-6339
Mailing address
2295 S FOOTHILL DR, SALT LAKE CITY, UT 84109-4000
(801) 486-3021
(801) 485-6339
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
11860219-3102
UT
363LF0000X
Family Nurse Practitioner
11860219-4405
UT
Other
Enumeration date
06/11/2024
Last updated
07/28/2025
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