Provider Demographics
NPI:1316426059
Name:ALEMAN, TAWNI MARIE (FNP)
Entity type:Individual
Prefix:
First Name:TAWNI
Middle Name:MARIE
Last Name:ALEMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TAWNI
Other - Middle Name:MARIE
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11732 S TALLAC DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-1215
Mailing Address - Country:US
Mailing Address - Phone:801-746-9230
Mailing Address - Fax:
Practice Address - Street 1:11732 S TALLAC DR
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-1215
Practice Address - Country:US
Practice Address - Phone:801-746-9230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7984210-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT7984210-4405OtherAPRN STATE LICENSE
UT7984210-8900OtherSTATE DEA LICENSE