Larsen, Jamie P

Larsen, Jamie P is an individual health care provider with primary practice located at 2530 E Southern Ave , Mesa AZ 85204-5411. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Larsen, Jamie P can be contacted via phone (480) 834-4188.

Contact Information

Primary practice address
2530 E Southern Ave Mesa AZ 85204-5411
Phone: (480) 834-4188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 57597411206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 57597411206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5177 Arizona

Profile Details

NPI number 1659410983
LBN Legal business name Larsen, Jamie P
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated May 20th, 2024 - about 4 months ago

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 1659410983 NPPES
Utah MEDICAID 553068427005
Utah MEDICAID 005752

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