IndividualActive
Carol Tanner, CRNA
NPI 1417019456 · Certified Registered Nurse Anesthetist · Fruit Heights, UT
Provider details
- NPI number
- 1417019456
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 2043774406 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
45 S Mountain Rd
Fruit Heights, UT 84037-2313
Phone: (801) 726-1340
Approximate (ZIP-level) locationGet directions
Mailing address
45 S Mountain Rd
Fruit Heights, UT 84037-2313
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2021-12-16
- Certified
- 2021-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.