Organization
MY HOME MEDICAL LLC
Active
Other names
My Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN LARSEN NP (APRN)
(801) 540-5580
Entity
Organization
Contact information
Practice address
6595 S SILVER OAK LN, SOUTH WEBER, UT 84405-9741
(801) 540-5580
(832) 324-6932
Mailing address
6595 S SILVER OAK LN, SOUTH WEBER, UT 84405-9741
(801) 540-5580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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