Leslie Michelle Tanner, APRN

NPI #1780868976 in Provo, Utah

Provider Information

NPI Number
1780868976
Entity Type
Individual
Name
Leslie Michelle Tanner, APRN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Primary Care
Credential
APRN
Enumeration Date
Dec 24, 2007
Last Updated
Jan 28, 2008

Practice Location

Address
1750 N WYMOUNT TERRACE DR
City
Provo
State
Utah
ZIP Code
84602-4800
Phone
(801) 422-2771

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Primary CarePrimary Care

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