Individual provider · Type 1 NPI
Mikala Larsen
Nurse Practitioner · St. George, UT
Practice location
1380 S Medical Center Dr.
St. George, UT 84790
Mailing address
1167 E 400 S Unit 26
St. George, UT 84790-5773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 8500357-4405 (UT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1962053017
Mikala Larsen's National Provider Identifier is 1962053017, issued on Sep 20, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. George, UT. The record was last updated on Sep 20, 2019.