Larson, Athena
Larson, Athena is an individual health care provider with primary practice located at 155 Hospital Dr Suite 410, Lafayette LA 70503-2852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Larson, Athena can be contacted via phone (337) 289-9700.Contact Information
Primary practice address
155 Hospital Dr Suite 410
Lafayette LA 70503-2852
Phone: (337) 289-9700
Fax: (337) 289-9702
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP04546 | Louisiana |
Profile Details
NPI number | 1225204282 |
---|---|
LBN Legal business name | Larson, Athena |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 30th, 2008 |
Last updated | Jul 30th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225204282 | NPPES |
Louisiana | Other | AP05456 | LICENSE |
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