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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 Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for JOHN M LARSEN · (Male)

NPI # 1578360699
Status Active
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 proprietor 1 No
Identifiers
  • UT License # 7947701-3102
  • UT License # 7947701-8900
Hospital affiliation(s) Not Available
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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