| Mandi Lou Tanner, APRN | |
|
2512 W 2725 N, Farr West, UT 84404-9469 | |
| (801) 309-6285 | |
| (801) 820-0401 |
| Full Name | Mandi Lou Tanner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2512 W 2725 N, Farr West, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598434953 | NPI | - | NPPES |
| 260022408 | Other | UT | RAILROAD MEDICARE |
| 4807317-4405 | Other | UT | APRN LICENSE |
| 000055266 | Other | UT | MEDICARE PIN |
| 8760003008007 | Medicaid | UT | |
| 4807317-8900 | Other | UT | CONTROLLED SUBSTANCE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4807317-4405 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mandi Lou Tanner, APRN 2512 W 2725 N, Farr West, UT 84404-9469 Ph: (801) 309-6285 | Mandi Lou Tanner, APRN 2512 W 2725 N, Farr West, UT 84404-9469 Ph: (801) 309-6285 |
Gene Cody Sase, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2850 N 2000 W Ste 101, Farr West, UT 84404 Phone: 801-732-0805 Fax: 385-333-4233 | |
Anna Marie Mcmillan Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2850 N 2000 W Ste 101, Farr West, UT 84404 Phone: 801-732-0805 | |
Shereen Zaugg, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2850 N 2000 W, #203, Farr West, UT 84404 Phone: 801-689-3389 Fax: 801-689-2320 |