MEDICARE: LOGAN RYAN ZARING RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	11770374-3102	UT

General Provider Information

NPI Number	:	1902763188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOGAN RYAN ZARING RN

Provider Business Mailing Address
First Line	:	630 MEDICAL DR
Second Line	:
City	:	BOUNTIFUL
State	:	UT
Zip	:	84010-4908
Country	:	US
Telephone Number	:	801-299-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2776 N FIGHTING FALCON ST
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84040-5782
Country	:	US
Telephone Number	:	801-649-9563
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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