Tamera Acord, RN

Individual provider Active NPI General Practice Registered Nurse · Riverton, UT

NPI 1336760966 · NPPES record last updated May 5, 2020

Key facts

NPI
1336760966
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
10781811-3112 (UT)
Practice address
5463 W Autumn Creek Dr
Riverton, UT 84096-6568
Phone
(801) 573-9072
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
10781811-3112UTMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 10781811-3112 UT Yes

Addresses

Primary practice location

5463 W Autumn Creek Dr
Riverton, UT 84096-6568

Mailing address

5463 W Autumn Creek Dr
Riverton, UT 84096-6568
Phone (801) 573-9072

Other providers in Riverton, UT

All providers in Riverton, UT · General Practice Registered Nurse in Utah

Sources for this page

Verify at the official NPI Registry.