Individual
DANAE MICHELLE TITENSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3550 N UNIVERSITY AVE STE 250, PROVO, UT 84604-6695
(801) 374-9625
(801) 374-9690
Mailing address
3550 N UNIVERSITY AVE STE 250, PROVO, UT 84604-6695
(801) 374-9625
(801) 374-9690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8281304-4405
UT
208600000X
Surgery Physician
8281304-4405
UT
363L00000X
Nurse Practitioner
Primary
8281304-4405
UT
Other
Enumeration date
08/30/2021
Last updated
03/11/2026
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