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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639321763 | Nicole Larson | Occupational Therapist | 1316 W Braxton Dr, Sioux Falls, SD 57108-3318 | 2008-10-21 |
1154929198 | Nicole Elizabeth Larson | Massage Therapist | 2430 Oka St Ste B, Kilauea, HI 96754-5332 | 2020-10-12 |
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 |
Street Address |
4300 W 147TH ST SUITE 204 |
City | APPLE VALLEY |
State | MN |
Zip Code | 55124-7850 |
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 |
Find all providers in zip 55124 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457885162 | Devon Canfield | Nurse Practitioner | 12277 Apple Valley Rd # 436, Apple Valley, CA 92308-1701 | 2017-04-19 |
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 |
Find all providers with the same taxonomy |
City | APPLE VALLEY |
Zip Code | 55124 |
Please comment or provide details below to improve the information on NICOLE LYNN LARSON.
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.