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

Mrs. Carol Sue Tanner, PA-C

Individual provider Medical Physician Assistant · NPI 1386857829

Mrs. Carol Sue Tanner, PA-C is a Physician Assistant in Springville, Utah. Qualified in 2002, 24 years ago. Practices with Numinus Wellness UT Inc, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
24
Licensed in
UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

672 W 400 S Ste 201
Springville, UT 84663-3170
Phone: (801) 369-8989
Fax: (801) 704-9741
Show map & directions

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

Additional practice locations (1)

  • 415 N Main St, Spanish Fork, UT 84660-1439 — (801) 798-9715

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5206678-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5206678-1206 (UT)

Record details

NPI number1386857829
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESNovember 8, 2020
Certification dateNovember 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Numinus Wellness Ut Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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