Individual
AUSTEN DIANE TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
BUILDING H-11, FREEPORT CENTER, CLEARFIELD, UT 84016
(801) 774-3265
(385) 287-1978
Mailing address
1413 E BENT BROOK LN, KAYSVILLE, UT 84037-1386
(509) 481-3741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12962021-4405
UT
Other
Enumeration date
10/23/2019
Last updated
10/14/2025
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