Bruck, Larissa J

Bruck, Larissa J is an individual health care provider with primary practice located at 3741 W 12600 S , Riverton UT 84065-7215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bruck, Larissa J can be contacted via phone (801) 285-4000.

Contact Information

Primary practice address
3741 W 12600 S Riverton UT 84065-7215
Phone: (801) 285-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP134258 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 12797278-8901 Utah

Profile Details

NPI number 1932634938
LBN Legal business name Bruck, Larissa J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2017
Last updated Sep 20th, 2022 - about 4 years 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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