Individual
KRISTIN M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
650 EAST 4500 SOUTH, SUITE 210, SALT LAKE CITY, UT 84107
(801) 288-2634
Mailing address
2754 CAROLE DRIVE, SALT LAKE CITY, UT 84107
(801) 943-3858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
691
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
6284797-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0523
—
SC
Enumeration date
08/29/2006
Last updated
09/11/2025
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