Larson, Amy
Larson, Amy is an individual health care provider with primary practice located at 4151 Willowwood St Se , Prior Lake MN 55372-4304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larson, Amy can be contacted via phone (952) 226-2600.Contact Information
Primary practice address
4151 Willowwood St Se
Prior Lake MN 55372-4304
Phone: (952) 226-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 25508 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5097 | Minnesota |
Profile Details
| NPI number | 1396152583 |
|---|---|
| LBN Legal business name | Larson, Amy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2014 |
| Last updated | Sep 5th, 2019 - about 5 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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