Kimberly Lynn Tagg, FNP-BC
Nurse Practitioner, Family in Logan, UT. Individual provider (NPI-1).
NPI number1801477286
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1801477286
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Lynn Tagg
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2021
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 5644836-4405 | UT | Yes |
Practice location
550 N Main St Ste 117Logan, UT 84321-3984
Phone 435-265-1675 · Fax 800-549-9403
Mailing address
415 W 3400 SNibley, UT 84321-6461
Phone 435-265-1675 · Fax 800-549-9403
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