Provider Demographics
NPI:1588404941
Name:PERRY, TANGI (BSN)
Entity type:Individual
Prefix:
First Name:TANGI
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 S 770 E
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-2488
Mailing Address - Country:US
Mailing Address - Phone:801-592-2539
Mailing Address - Fax:
Practice Address - Street 1:92 N MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1763
Practice Address - Country:US
Practice Address - Phone:385-985-3565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT278364-3102163WC2100X, 163WG0000X, 163WH0200X, 163WH1000X, 163WP2201X, 163WU0100X, 163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WU0100XNursing Service ProvidersRegistered NurseUrology