Individual
WESLEY REED LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3550 N UNIVERSITY AVE STE 250, PROVO, UT 84604-6695
(801) 374-9625
(801) 374-9690
Mailing address
1055 N 300 W STE 400, PROVO, UT 84604-3359
(801) 357-7404
(801) 357-7587
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5121976-4405
UT
Other
Enumeration date
08/19/2008
Last updated
05/26/2021
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