Larson, Amanda

Larson, Amanda is an individual health care provider with primary practice located at 420 12Th St Se Apt 16, Le Mars IA 51031-2800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Larson, Amanda can be contacted via phone (712) 541-1401.

Contact Information

Primary practice address
420 12Th St Se Apt 16 Le Mars IA 51031-2800
Phone: (712) 541-1401
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C107295 Iowa

Profile Details

NPI number 1457745986
LBN Legal business name Larson, Amanda
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2015
Last updated Jun 25th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457745986 NPPES
Iowa Other 107295 IOWA BOARD OF NURSING

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