| Doctor Name: | MRS. GINA A. TUTTLE |
| NPI Number: | 1295058329 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REGISTERED NURSE |
| License Number: | 106485-3102 |
| Business Practice Address: | 55 S 500 E Heber City, UT - 840321918 |
| Business Phone Number: | 4356542700 |
| Business Fax Number: | 4356542705 |
| Mailing Address: | 55 S 500 E, HEBER CITY |
| State: | UT |
| Postal Code: | 840321918 |
| Phone Number: | 4356542700 |
| Fax Number: | 4356542705 |
| NPI Enumeration Date: | 03/03/2010 |
| NPI Last Update Date: | 03/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 106485-3102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |