Individual provider · NPI-1

Larissa Beyerlein, M.D.

Pediatrics, Pediatric Emergency Medicine · Salt Lake City, UT

NPI number1902110232
StatusActive
Last updated in NPPESDec 16, 2025

Details

NPI
1902110232
Entity type
Individual (NPI-1)
Name
Ms. Larissa Beyerlein
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2010
Certification date
Dec 16, 2025
Last updated
Dec 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency Medicine8637381-1205UTYes

Practice location

295 Chipeta Way
Department Of Pediatric Emergency Medicine
Salt Lake City, UT 84158

Phone 801-587-7436 · Fax 801-587-7455

Mailing address

295 Chipeta Way, Suite 200
Pediatric Emergency Medicine
Salt Lake City, UT 84158

Phone 801-587-7436 · Fax 801-587-7455

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