Healthcare Provider Details

I. General information

NPI: 1902763188
Provider Name (Legal Business Name): LOGAN RYAN ZARING RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2776 N FIGHTING FALCON ST
LAYTON UT
84040-5782
US

IV. Provider business mailing address

630 MEDICAL DR
BOUNTIFUL UT
84010-4908
US

V. Phone/Fax

Practice location:
  • Phone: 801-649-9563
  • Fax:
Mailing address:
  • Phone: 801-299-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number11770374-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: