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TANNER DAVIDSON
NPI 1497611446
Registered Nurse in Provo, UT

Active since January 02, 2026
589 S STATE ST, PROVO, UT 84606(801) 429-2000(801) 429-2001 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanner Davidson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANNER DAVIDSON (NPI 1497611446) is an individual registered nurse in Provo, Utah, licensed in Utah (139697313102) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1497611446
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameTANNER DAVIDSON
Location Address589 S STATE STProvo, UT 84606-5056
Mailing Address589 S State StProvo, UT 84606-5056 · (801) 429-2000 · Fax (801) 429-2001
Phone(801) 429-2000
Fax(801) 429-2001
Sole ProprietorNo
Enumeration DateJanuary 2, 2026
NPPES CertifiedJanuary 2, 2026
✔ NPI 1497611446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in UT · 139697313102
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
589 S STATE ST, Provo, UT 84606
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT ROWE
Physician Assistant
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000
MRS. JODI FLYNN PA-C
Physician Assistant
589 S STATE ST
PROVO, UT 84606
Utah County (801) 602-4795
CARLOS ARIEL TITA RN, CDCES
Registered Nurse (Ambulatory Care)
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
589 S STATE ST
PROVO, UT 84606
Utah County (801) 294-2013
MICHAEL C WORMAN PHARMD
Pharmacist (Ambulatory Care)
589 S STATE ST
PROVO, UT 84606
Utah County (801) 678-4924
MARIA DJ VILLAGRANA APRN
Nurse Practitioner (Family)
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000
HALEY PARKER PA-C
Physician Assistant
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000
MOUNTAINLANDS COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
589 S STATE ST
PROVO, UT 84606
Utah County (801) 429-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanner Davidson's NPI number?

The NPI number for Tanner Davidson is 1497611446. It was assigned to this individual provider in the NPPES registry on January 2, 2026.

Where is Tanner Davidson located?

Tanner Davidson practices at 589 S State St, Provo, UT 84606. The listed phone number is (801) 429-2000.

What is Tanner Davidson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Tanner Davidson was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.