Individual
MS. TIFFANY A. MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
4505 S WASATCH BLVD STE 260, SALT LAKE CITY, UT 84124-4800
(385) 955-9579
Mailing address
4505 S WASATCH BLVD STE 260, SALT LAKE CITY, UT 84124-4800
(385) 955-9579
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60212093102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6021209-4405
UT
Other
Enumeration date
02/23/2021
Last updated
03/09/2023
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