NPI 1932634938

Larissa J Bruck, CRNA

Practitioner Certified Registered Nurse Anesthetist Riverton, UT

Practice location

Address: 3741 W 12600 S, Riverton, UT 84065-7215
Phone: (801) 285-4000
Mailing address: 3340 N Center St STE 800, Lehi, UT 84043-7406

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 12797278-8901 (UT)

Other Nurse Anesthetist, Certified Registered providers in Utah →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP134258 (TX)

Registry record

NPI: 1932634938
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2017
Record last updated: 20 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.