Provider Demographics
NPI:1770301434
Name:NAY, TARI
Entity type:Individual
Prefix:
First Name:TARI
Middle Name:
Last Name:NAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TARI
Other - Middle Name:
Other - Last Name:BEZOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4054 W 4450 S
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-8446
Mailing Address - Country:US
Mailing Address - Phone:801-726-1804
Mailing Address - Fax:
Practice Address - Street 1:4054 W 4450 S
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:UT
Practice Address - Zip Code:84401-8446
Practice Address - Country:US
Practice Address - Phone:801-726-1804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management