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

Tanner Davidson

Individual provider Registered Nurse · NPI 1497611446

Tanner Davidson is a Registered Nurse in Provo, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

589 S State St
Provo, UT 84606-5056
Phone: (801) 429-2000
Fax: (801) 429-2001
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 139697313102 (UT)

Record details

NPI number1497611446
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 2, 2026
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address589 S State St, Provo, UT 84606-5056

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