National Provider Identifier Database

JOHN M LARSEN, FNP-C – NPI #1578360699
Nurse Practitioner

(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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

JOHN M LARSEN, FNP-C
6936 S PROMENADE DR STE 202
COTTONWOOD HEIGHTS, UT84121-3387
Phone: 801-605-3801
Fax: 801-752-3068
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Critical Care Medicine 163WC0200X

* Indicates primary specialty

NPI Profile & details for JOHN M LARSEN

NPI Number 1578360699
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 02/26/2025
Last updated 04/09/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • UT License #: 7947701-3102
  • UT License #: 7947701-8900
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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