IndividualActive
Leslie Tanner, APRN
NPI 1780868976 · Primary Care Nurse Practitioner · Provo, UT
Provider details
- NPI number
- 1780868976
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 213341-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1750 N Wymount Terrace Dr
Provo, UT 84602-4800
Phone: (801) 422-2771
Fax: (801) 422-0761
Approximate (ZIP-level) locationGet directions
Mailing address
1750 N Wymount Terrace Dr
Provo, UT 84602-4800
Registry dates
- Enumerated
- 2007-12-24
- Last updated
- 2008-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.