NICOLE LYNN LARSON


Address: 4300 W 147th St, Suite 204, Apple Valley, MN 55124-7850
Phone: 9529973020

NICOLE LYNN LARSON (NPI# 1720048317) 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) 1720048317
Entity Type Individual
Full Name NICOLE LYNN LARSON
Other Name NICOLE LYNN LARSON
Credential DNP, RN, CNP
Practice Address 4300 W 147th St
Suite 204
Apple Valley
MN 55124-7850
Mailing Address 1900 Silver Lake Rd Nw
Suite 110
New Brighton
MN 55112-1786
Practice Telephone 9529973020
Practice Fax Number 9529973026
Mailing Telephone 6513791718
Mailing Fax Number 6513791738
Enumeration Date 2006-03-27
Last Update Date 2014-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner R157442-5 MN Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
157442-5 MN Physician Assistants & Advanced Practice Nursing Providers

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1639321763 Nicole Larson Occupational Therapist 1316 W Braxton Dr, Sioux Falls, SD 57108-3318 2008-10-21
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1215550868 Nicole Larson Pharmacist 21455 John Milless Dr, Rogers, MN 55374-9431 2020-05-18
1821566530 Nicole Larson Physical Therapist 2492 Nissen Dr, Livermore, CA 94551-7704 2018-11-12
1275000564 Nicole Elizabeth Larson Nurse's Aide 165 E Hawthorne Ave, Colville, WA 99114-2629 2018-10-25
1376021675 Nicole Larson Physical Therapist 1025 E Broadway Rd, Tempe, AZ 85282-1599 2018-07-30
1124469382 Nicole Larson Case Manager/Care Coordinator 218 Dogwood Hollow Rd, Mountain View, AR 72560-7942 2013-07-16
1568715803 Nicole Elizabeth Larson Social Worker 101 5th St E, Suite 208, Northfield, MN 55057-2067 2012-10-24
1730342072 Nicole M Larson Nurse Practitioner 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2008-07-08
1952422586 Nicole Marie Larson Physician Assistant 5841 S Maryland Ave, Mc 5035, Chicago, IL 60637-1447 2007-04-02

Office Location

Street Address 4300 W 147TH ST
SUITE 204
City APPLE VALLEY
State MN
Zip Code 55124-7850

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574672 Carol Susan Elstad Counselor Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 2020-09-23
1629612569 Gadaa Care Transportation Non-emergency Medical Transport (VAN) 7296 157th St W, Apple Valley, MN 55124 2019-11-04
1356831515 Dustin W Seabolt Hearing Instrument Specialist 15071 Dunwood Trl, Apple Valley, MN 55124 2018-05-14
1639687189 Dentalign P.a. Clinic/Center 15875 Emperor Avenue, Apple Valley, MN 55124 2018-01-18
1982126926 Apex Family Chiropractic LLC Chiropractor 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 2017-07-12
1821523028 Robin Marie Parker Nurse Practitioner 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 2017-04-25
1134578826 Ellen Denise Jacobson Dentist 14682 Pennock Avenue South, Apple Valley, MN 55124 2016-06-03
1831568708 Clearriver Inc. Home Health 13790 Elkhart Rd, Apple Valley, MN 55124 2015-09-21
1265826879 Next Level Fitness Co Public Health or Welfare 14645 Felton Ct, 104, Apple Valley, MN 55124 2015-03-20
1568872216 Jon Butala Marriage & Family Therapist 4300 W 147th St., Suite 204, Apple Valley, MN 55124 2014-05-04
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457885162 Devon Canfield Nurse Practitioner 12277 Apple Valley Rd # 436, Apple Valley, CA 92308-1701 2017-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285234435 Hawa Warsame Ali Nurse Practitioner 2650 Portland Ave, Minneapolis, MN 55407-1011 2020-10-27
1962009548 Emily Ongaga Nurse Practitioner 43 10 Parkview Circle, Anoka, MN 55303 2020-10-06
1811504038 Rita Jane Giglio Nurse Practitioner 201 Stade Ln, Fairmont, MN 56031-3227 2020-09-30
1568077725 Linda Mongare Nurse Practitioner 3659 Tower Pond Dr, Anoka, MN 55303-8302 2020-09-14
1366056806 Associates In Mental Health and Addiction Services. P.l.l.c Nurse Practitioner 166 W 3rd St Ste 202, Winona, MN 55987-6591 2020-09-02
1891308813 Chelsey Paulson Nurse Practitioner 228 Krays Mill Rd, Cold Spring, MN 56320-4563 2020-08-28
1417560681 Amy Engle Nurse Practitioner 1125 Se 8th Street, Willmar, MN 56201 2020-08-28
1609488964 Heather Mantsch Nurse Practitioner 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 2020-08-18
1326659210 Monsurat Oluwa-okougbo Nurse Practitioner 1565 11th Ave, Newport, MN 55055-1650 2020-08-13
1629687124 Justin Robert Wirth Nurse Practitioner 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 2020-07-30
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Competitor

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City APPLE VALLEY
Zip Code 55124

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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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