Amy F Larson ANP

NPI 1003883018 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003883018
Gender Female
Enumeration Date 03/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2220 RIVERSIDE AVE S
MAIL STOP 31700A
MINNEAPOLIS MN, 55454-1321, US
Phone (612) 371-1600
Fax (612) 371-1732
Business Location
8100 34TH AVE S
21110Q
BLOOMINGTON MN, 55425-1672, US
Phone (952) 883-7961
Fax (952) 883-5395
Toxanomy
Taxonomy Code 363L00000X
License State Minnesota
License Number 1393813
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According to our database, Amy F Larson ANP NPI is 1003883018, taxonomy code is 363L00000X and license number is 1393813, license state is located at Minnesota. Amy F Larson ANP physically located at 2220 Riverside Ave S, Minneapolis MN, 55454-1321. NPI Number Amy F Larson ANP has the Individual type.

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1003883018 NPI number is provided on an as is basis without warranty of any kind. 1003883018 is maintained by the National Plan & Provider Enumeration System. The contents of Amy F Larson ANP are for informational purposes only.