Larson, Christine M
Larson, Christine M is an individual health care provider with primary practice located at 10701 W Research Dr , Wauwatosa WI 53226-3452. 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, Christine M can be contacted via phone (262) 345-5343.Contact Information
Primary practice address
10701 W Research Dr
Wauwatosa WI 53226-3452
Phone: (262) 345-5343
Fax: (262) 438-1327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4607-33 | Wisconsin |
Profile Details
| NPI number | 1740566223 |
|---|---|
| LBN Legal business name | Larson, Christine M |
| Credentials | APNP FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2011 |
| Last updated | Apr 6th, 2015 - about 9 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 | 1740566223 | NPPES |
| Wisconsin | Other | 2011006035 | ANCC CERTIFICATION FNP |
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