-- JAYNE M LARSON -- C.P.N.P.
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1891787297- Provider Type
- Individual Provider (NPI-1)
- Credentials
- C.P.N.P.
- Status
- Active
Contact & Location
- Address
- 14135 CEDAR AVE SUITE 100, APPLE VALLEY, MN, 551244522
- Phone
- (952) 432-4373
- Fax
- (952) 997-5679
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: MN #R111622-3
Nurse Practitioner, Pediatrics
License: WI #103558-030