Larson, Amy F

Larson, Amy F is an individual health care provider with primary practice located at 295 Phalen Blvd , Saint Paul MN 55130-2400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Larson, Amy F can be contacted via phone (651) 495-6300.

Contact Information

Primary practice address
295 Phalen Blvd Saint Paul MN 55130-2400
Phone: (651) 495-6300
Fax: (952) 967-7616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 510 Minnesota

Profile Details

NPI number 1003883018
LBN Legal business name Larson, Amy F
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated May 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003883018 NPPES
Minnesota MEDICAID 135425600

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