Larsen, Greg Eric

Larsen, Greg Eric is an individual health care provider with primary practice located at 624 S 1000 E Ste 103 , St George UT 84790-5902. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Larsen, Greg Eric can be contacted via phone (435) 652-1135.

Contact Information

Primary practice address
624 S 1000 E Ste 103 St George UT 84790-5902
Phone: (435) 652-1135
Fax: (435) 652-1190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 354177-4405 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 354177-4405 Utah

Profile Details

NPI number 1578879441
LBN Legal business name Larsen, Greg Eric
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2010
Last updated May 21st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578879441 NPPES
Utah MEDICAID 1578879441

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