Udy, Tara Lee
Udy, Tara Lee is an individual health care provider with primary practice located at 585 N 500 W , Provo UT 84601-1548. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Udy, Tara Lee can be contacted via phone (801) 374-1801.Contact Information
Primary practice address
585 N 500 W
Provo UT 84601-1548
Phone: (801) 374-1801
Fax: (801) 216-8357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10879383-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 10879383 | Utah |
Profile Details
| NPI number | 1831815067 |
|---|---|
| LBN Legal business name | Udy, Tara Lee |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2022 |
| Last updated | Sep 21st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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