Individual
TARA LEE UDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Mailing address
884 W 225 S, SPRINGVILLE, UT 84663-5533
(801) 857-1396
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10879383-4405
UT
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
10879383
UT
Other
Enumeration date
10/19/2022
Last updated
09/21/2023
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