IndividualActive
Dayne Tattersall, FNP-C
NPI 1568080661 · Primary Care Nurse Practitioner · Salt Lake City, UT
Provider details
- NPI number
- 1568080661
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 8588367-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 Foothill Blvd
Salt Lake City, UT 84148-8524
Phone: (801) 584-1205
Approximate (ZIP-level) locationGet directions
Mailing address
500 Foothill Blvd
Salt Lake City, UT 84148-0001
Registry dates
- Enumerated
- 2020-07-06
- Last updated
- 2023-04-13
- Certified
- 2023-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.