Mary Tanner, NP
Mary Tanner is a Family Nurse Practitioner provider (Nurse Practitioner) practicing in Orem, UT, registered in the NPPES registry with NPI 1558045583 since 2023. The credential NP stands for Nurse Practitioner. Practices at Aloha Ketamine and Wellness LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558045583 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mary Tanner |
| Credential | NP |
| Sex | Female |
| Practice address | 720 N 530 E, Orem, UT, 84097 |
| Phone | 3854987506 |
| Enumeration date | 2023-06-12 |
| Last updated in NPPES | 2023-06-12 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner | Primary | 10834924-4405 | UT |
NP — Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential
Copy-ready billing details
Provider: Mary Tanner, NP NPI: 1558045583 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: 720 N 530 E, Orem, UT, 84097
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740444173 | John Sanders | Individual | Family Medicine Physician | Orem, UT |
| 1477309581 | Aloha Ketamine and Wellness LLC | Organization | Family Medicine Physician | Orem, UT |
Verify this record
Cross-check NPI 1558045583 against the authoritative CMS record: view Mary Tanner on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1558045583 active?
How do I verify Mary Tanner's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-06-12.