MARY TANNER

OREM, UT
NPI1558045583
Former NameMARY MITTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  10834924-4405)
Enumeration Date2023-06-12
Last Update Date2023-06-12
Business Address
MARY TANNER NP
720 N 530 E
OREM, UT 84097-4104
Phone number: 385-498-7506
Mailing Address
MARY TANNER NP
1109 N TEMPLE DR
PROVO, UT 84604-1704
Phone number: