Tanner Davidson

NPI 1497611446 · on the registry since 2026

Practice

Address: 589 S State St
Provo, UT 84606
Phone: (801) 429-2000
Fax: (801) 429-2001
Organisation at this address: Mountainlands Family Pharmacy
Mountainlands Community Health Center, Inc
Mountainlands Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah