Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Tanner

Individual provider Community Health Worker · NPI 1861243677

Ethan Tanner is a Community Health Worker in Layton, Utah. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

934 S Main St
Layton, UT 84041-7135
Phone: (801) 336-1845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Community Health Worker Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1861243677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2024
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address934 S Main St, Layton, UT 84041-7135

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