Kirt W Larson in Herriman - Nurse Practitioner
Kirt W Larson - NPI 1053576504
Kirt W Larson is a Nurse Practitioner in Herriman, Utah. Kirt W Larson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kirt W Larson is 1053576504. The last update date is 2022-10-13.
Kirt W Larson's current location address is 13352 South 5600 West, Herriman, Utah. You can contact this provider via phone number 8014462760 and fax number 8014462762. The mailing address for Kirt W Larson is 13352 South 5600 West, Herriman, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirt W Larson |
|---|---|
| Address | 13352 South 5600 West, Herriman, Utah |
| Phone Number | 8014462760 |
| Fax Number | 8014462762 |
| Sole Proprietor | Y |
| Credentials | MSN,FNP-C |
NPI Number Detail
| NPI Number | 1053576504 |
|---|---|
| Provider Enumeration Date | 2008-07-24 |
| Last Updated Date | 2022-10-13 |
Provider Mailing Address Detail
| Address | 13352 South 5600 West |
|---|---|
| City | Herriman |
| State | Utah (UT) |
| Post Code | 84096 |
| Phone Number | 8014462760 |
| Fax Number | 8014462762 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 211451-4405 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053576504 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kirt W Larson by the Centers for Medicare & Medicaid Services?
The Kirt W Larson has been issued the NPI (National Provider Identifier) 1053576504, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kirt W Larson?
The Kirt W Larson is situated at 13352 South 5600 West, in the city of Herriman, state of UT, with the zip code 84096.
What is Kirt W Larson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kirt W Larson's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053576504 to Kirt W Larson?
The Centers for Medicare & Medicaid Services originally issued the 1053576504 to Kirt W Larson on 2008-07-24.
When was the information regarding Kirt W Larson most recently updated?
The details pertaining to the Kirt W Larson, including its address, specialty, and other relevant information, were last refreshed on 2022-10-13.
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