Larsen, Grace Rebecca
Larsen, Grace Rebecca is an individual health care provider with primary practice located at 418 Main St. , Brewster WA 98812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larsen, Grace Rebecca can be contacted via phone (509) 689-8900.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30004121 | Washington |
Profile Details
| NPI number | 1891759411 |
|---|---|
| LBN Legal business name | Larsen, Grace Rebecca |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jun 29th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891759411 | NPPES |
| Washington | Other | 0293307 | L&I |
| Washington | MEDICAID | 1891759411 | L&I |
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