TATHA MARIE ENZ

TANNER MEMORIAL CLINIC

Dr TATHA MARIE ENZ is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

TANNER MEMORIAL CLINIC

380 N 400
TANNER CLINIC
KAYSVILLE
UT
840373135

Tel: 8017734840

TATHA MARIE ENZ Information

Npi 1225549793
Pac Id 1456611516
Professional Enrollment Id I20180209000842
Last Name ENZ
First Name TATHA
Middle Name MARIE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TANNER MEMORIAL CLINIC
Group Practice Pac Id 4284547985
Number Of Group Practice Members 142
Line 1 Street Address 380 N 400
Line 2 Street Address TANNER CLINIC
Marker Of Address Line 2 Suppression
City KAYSVILLE
State UT
Zip Code 840373135
Phone Number 8017734840
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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