Healthcare Provider Details

I. General information

NPI: 1730048638
Provider Name (Legal Business Name): DILLON REES TANNER PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 S 100 E STE 300
PAYSON UT
84651-2253
US

IV. Provider business mailing address

409 S 340 W
SPANISH FORK UT
84660-4730
US

V. Phone/Fax

Practice location:
  • Phone: 801-382-9338
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11585791-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number11585791-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: