Tanner Davidson
Registered Nurse in Provo, UT. Individual provider (NPI-1).
NPI number1497611446
StatusActive
Last updated in NPPESJan 2, 2026
Details
- NPI
- 1497611446
- Entity type
- Individual (NPI-1)
- Name
- Tanner Davidson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2026
- Certification date
- Jan 2, 2026
- Last updated
- Jan 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 139697313102 | UT | Yes |
Practice location
589 S State StProvo, UT 84606-5056
Phone 801-429-2000 · Fax 801-429-2001
Mailing address
589 S State StProvo, UT 84606-5056
Phone 801-429-2000 · Fax 801-429-2001
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All 49 Registered Nurse providers in Provo · All 6,098 providers in Provo
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