MARY TANNER NP
NPI 1558045583
Nurse Practitioner - Family in Orem, UT

Q: What is Mary Tanner's NPI number?

The NPI number for Mary Tanner is 1558045583. It was assigned to this individual provider in the NPPES registry on June 12, 2023. The provider is also known as Mary Mitton.

Q: What is Mary Tanner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Tanner was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 12, 2023

720 N 530 E, OREM, UT 84097(385) 498-7506 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Tanner Np NPPES

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

MARY TANNER NP (NPI 1558045583) is an individual family provider in Orem, Utah, licensed in Utah (10834924-4405) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1558045583

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY TANNERCredential: NP

Location Address720 N 530 EOrem, UT 84097-4104

Mailing Address1109 N Temple DrProvo, UT 84604-1704

Phone(385) 498-7506

Sole ProprietorNo

Enumeration DateJune 12, 2023

NPPES CertifiedJune 10, 2023

✔ NPI 1558045583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 10834924-4405

720 N 530 E, Orem, UT 84097

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Other Names 1

Former Name (1)Mary Mitton

Other Providers at the Same Location NPPES 3

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

SCOTT WARD WEBSTER DNP, ARNP, FNP-C

Nurse Practitioner (Family)

720 N 530 E
OREM, UT 84097

Utah County (385) 469-3147

ALOHA KETAMINE AND WELLNESS LLC

Family Medicine

720 N 530 E
OREM, UT 84097

Utah County (385) 498-7506

JOHN M SANDERS DO

Family Medicine

720 N 530 E
OREM, UT 84097

Utah County (385) 498-7506

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 Mary Tanner's NPI number?

The NPI number for Mary Tanner is 1558045583. It was assigned to this individual provider in the NPPES registry on June 12, 2023. The provider is also known as Mary Mitton.

Where is Mary Tanner located?

Mary Tanner practices at 720 N 530 E, Orem, UT 84097. The listed phone number is (385) 498-7506.

What is Mary Tanner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Tanner was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.