TACK D MACGREGOR REGISTERED NURSE
NPI 1659914356
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Provo, UT

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WP0807X and a focus in Psychiatric/Mental Health, Child & Adolescent.

Active since October 25, 2019

4501 N UNIVERSITY AVE, PROVO, UT 84604(801) 932-2582 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tack D Macgregor Registered Nurse NPPES

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

TACK D MACGREGOR REGISTERED NURSE (NPI 1659914356) is an individual psychiatric/mental health, child & adolescent provider in Provo, Utah, licensed in Utah (5554957-3102) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1659914356

Entity TypeIndividualMale

Primary Taxonomy163WP0807X

Provider Legal NameTACK D MACGREGORCredential: REGISTERED NURSE

Location Address4501 N UNIVERSITY AVEProvo, UT 84604-5504

Mailing Address4501 N University AveProvo, UT 84604-5504

Phone(801) 932-2582

Sole ProprietorNo

Enumeration DateOctober 25, 2019

✔ NPI 1659914356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers

Taxonomy Code163WP0807X

License✔ Licensed in UT · 5554957-3102

4501 N UNIVERSITY AVE, Provo, UT 84604

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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.

DELBERT P PEARSON MD

Psychiatry & Neurology (Psychiatry)