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1093770562
ELIZABETH ANN LARSEN
PROVO, UT
NPI
1093770562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5399391-4405)
Enumeration Date
2006-04-19
Last Update Date
2023-11-27
Business Address
ELIZABETH ANN LARSEN APRN
1055 N 500 W BLDG A
PROVO, UT 84604-3305
Phone number: 801-812-5033
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Mailing Address
ELIZABETH ANN LARSEN APRN
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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