Larsen, Gladys
Larsen, Gladys is an individual health care provider with primary practice located at 7901 W 159Th St Ste B , Tinley Park IL 60477-1881. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Larsen, Gladys can be contacted via phone (312) 279-9814.Contact Information
Primary practice address
7901 W 159Th St Ste B
Tinley Park IL 60477-1881
Phone: (312) 279-9814
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209014371 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 277.001014 | Illinois |
Profile Details
NPI number | 1174974661 |
---|---|
LBN Legal business name | Larsen, Gladys |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2016 |
Last updated | Jun 14th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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