MEDICARE: CARLA TANG PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	379255-8900	UT

General Provider Information

NPI Number	:	1952146292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA TANG PMHNP-BC

Provider Business Mailing Address
First Line	:	2935 W HAZELNUT CIR
Second Line	:
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84129-2431
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 S CHIPETA WAY
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84108-1222
Country	:	US
Telephone Number	:	801-213-3770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2024
Last Update Date	:	12/08/2025

Similar Medicare Providers

1063460111 — DR. DANIEL D CHRISTENSEN M.D.
Practice Location Address:

501 CHIPETA WAY
SLC, UT
84108-1222

Practice Phone: 801-587-3122
Practice Fax: 801-582-8471

1073617601 — CRAIG M ARAMAKI PHARMACIST
Practice Location Address:

501 CHIPETA WAY
SLC, UT
84108-1222

Practice Phone: 801-587-3200
Practice Fax:

1003161738 — MS. KRISTIN ALLISON MIDYETT LCSW
Practice Location Address:

501 E CHIPETA WAY
SLC, UT
84108-1222

Practice Phone: 801-587-3000
Practice Fax:

1689028813 — KAREN CHRISTINE MANOTAS M.D.
Practice Location Address:

501 S CHIPETA WAY
SLC, UT
84108-1222

Practice Phone: 801-583-2500
Practice Fax:

1174973531 — MATTHEW DAVIS PH.D.
Practice Location Address:

501 S CHIPETA WAY
SLC, UT
84108-1222

Practice Phone: 801-583-2500
Practice Fax:

1982694931 — ARUP LABORATORIES
Practice Location Address:

500 CHIPETA WAY
SLC, UT
84108-1221

Practice Phone: 800-242-2787
Practice Fax: 801-584-5207

Directions to “ CARLA TANG PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.