ELIZABETH ANN LARSEN APRN NPI 1093770562

NPI Information

NPI: 1093770562
Provider Name: ELIZABETH ANN LARSEN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CENTRAL UTAH CLINIC, P.C.

PECOS Registration: Yes

Address:
1055 N 500 W BLDG A
PROVO, UT
ZIP 84604
Phone: (801) 812-5033
Get Directions

Elizabeth Ann Larsen, APRN is a family nurse practitioner in Provo, UT with 19 years of experience. Elizabeth Ann Larsen, APRN NPI is 1093770562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1055 N 500 W BLDG A
PROVO, UT
ZIP 84604-305
Phone: (801) 812-5033
Fax: (801) 812-5034

The NPI 1093770562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 1/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	5399391-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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