Larson, Angela L

Larson, Angela L is an individual health care provider with primary practice located at 111 Hundertmark Rd Ste 440 , Chaska MN 55318-1460. 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, Angela L can be contacted via phone (952) 856-4033.

Contact Information

Primary practice address
111 Hundertmark Rd Ste 440 Chaska MN 55318-1460
Phone: (952) 856-4033
Fax: (952) 856-4034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R149045-7 Minnesota

Profile Details

NPI number 1275618399
LBN Legal business name Larson, Angela L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 31st, 2019 - about 6 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 1275618399 NPPES
Minnesota MEDICAID 983177100

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