Individual
SOPHIA MAE LARIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1043 N 920 W APT 611, OREM, UT 84057-4102
(801) 822-8149
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8055959-4405
UT
363LF0000X
Family Nurse Practitioner
8055959-8900
UT
Other
Enumeration date
09/22/2016
Last updated
12/05/2016
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