Individual
COREY LINN LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4848 S COMMERCE DR, MURRAY, UT 84107-4761
(385) 474-4709
Mailing address
1093 E COUNTRYWOODS CIR APT 20F, MIDVALE, UT 84047-4154
(801) 664-0600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9730662-4405
UT
363LF0000X
Family Nurse Practitioner
9730662-8900
UT
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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