BROOKE LOU LARSON


Address: 2630 E Citizens Dr, Fayetteville, AR 72703-4797
Phone: 4795279966

BROOKE LOU LARSON (NPI# 1114336278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114336278
Entity Type Individual
Full Name BROOKE LOU LARSON
Credential PA-C
Practice Address 2630 E Citizens Dr
Fayetteville
AR 72703-4797
Mailing Address 703 S Brookside Ct
Rogers
AR 72758-8157
Practice Telephone 4795279966
Mailing Telephone 8583612837
Enumeration Date 2014-08-03
Last Update Date 2014-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers BROOKE LARSON

NPI Name Taxonomy Address Enumeration
1447809355 Brooke Erin Larson Social Worker 255 Village Pkwy Ne Ste 580, Marietta, GA 30067-4161 2019-09-04
1205316031 Brooke Larson Counselor 3601 16th Ave Sw, Cedar Rapids, IA 52404-2328 2018-08-21
1508361379 Brooke Nicole Larson Social Worker 2401 Gillham Rd, Kansas City, MO 64108-4619 2018-03-26
1316331929 Brooke Marie Larson I Physical Therapist 4530 Northern Sky Dr, Bismarck, ND 58503 2015-03-20

Office Location

Street Address 2630 E CITIZENS DR
City FAYETTEVILLE
State AR
Zip Code 72703-4797

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316998156 Debra Gail Walker Nurse Practitioner 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 2006-05-15
1295281392 Ozark Medical Consultants Pllc Family Medicine 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 2016-08-29
1750731733 Mary Christine Haggard Dietitian, Registered 2630 E Citizens Dr, Fayetteville, AR 72703-4797 2016-06-21
1609265420 Amanda Lamb Nurse Practitioner 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 2015-01-16
1982009395 Mission Family Practice Pllc Family Medicine 2630 E Citizens Dr, Suite #13, Fayetteville, AR 72703-4797 2014-10-28
1437440922 Medical Associates of Northwest Arkansas Pa Family Medicine 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 2011-05-02
1225206436 Kelly Jane Hardin Nurse Practitioner 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4749 2008-02-11
1366655078 Robert G Hodous Dds Ltd Dentist 2630 E Citizens Dr, Suite 8, Fayetteville, AR 72703-4797 2007-05-08
1053347633 Access Urgent Care Family Medicine 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4339 2006-06-24
1508808742 Lucy Jones Nurse Practitioner 2630 E Citizens Dr, Suite 13, Fayetteville, AR 72703-4797 2006-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443387 Melissa Macneil Spencer Physician Assistant 810 Knighthood Cir, Fayetteville, NY 13066-8721 2020-10-03
1366067548 Prathna Raval Physician Assistant 6808 Thames Dr, Fayetteville, NC 28306-2524 2020-06-12
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1144858515 Mackenzie Anna Kirchner Physician Assistant 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 2020-03-31
1770116931 Chasity Nicole Sullivan Physician Assistant 202b Highland Ave, Fayetteville, NC 28305-5308 2020-02-17
1740812833 Madeline Everitt Monday Physician Assistant 705 Stonington Dr, Fayetteville, NC 28311-0329 2020-02-07
1396375325 Lisa Ann Gross Physician Assistant 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 2020-01-17
1811536048 Kelly Hamilton Sweatt Physician Assistant 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 2020-01-06
1922563667 Reandy Nicole Hearn Physician Assistant 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 2019-02-06
1790259430 Cassandra Ann Nebosky-diaz Physician Assistant 659 Daharan Dr, Fayetteville, NC 28314-6538 2019-01-16
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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