Provider Demographics
NPI:1467093328
Name:CURTIS, TESSA RACHEL (APRN, AGACNP)
Entity Type:Individual
Prefix:MISS
First Name:TESSA
Middle Name:RACHEL
Last Name:CURTIS
Suffix:
Gender:F
Credentials:APRN, AGACNP
Other - Prefix:
Other - First Name:TESSA
Other - Middle Name:RACHEL
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, AGACNP
Mailing Address - Street 1:6405 S 3000 E STE 201
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-6990
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:836 S ANGEL ST STE 102
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-3687
Practice Address - Country:US
Practice Address - Phone:435-291-1375
Practice Address - Fax:801-823-6595
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-02
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9018056-3102363L00000X
UT9018056-4405363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner