Larson, Janet A

Larson, Janet A is an individual health care provider with primary practice located at 200 Bunker Hill Dr , Aitkin MN 56431-1865. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Larson, Janet A can be contacted via phone (218) 768-4011.

Contact Information

Primary practice address
200 Bunker Hill Dr Aitkin MN 56431-1865
Phone: (218) 768-4011
Fax: (218) 768-4814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R133861-6 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R133861-6 Minnesota

Profile Details

NPI number 1659349934
LBN Legal business name Larson, Janet A
Credentials PSYNP, PHD, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 17th, 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 1659349934 NPPES
Minnesota Other 500001766 MEDICARE WPS - AITKIN CLI
Minnesota Other 500001767 MEDICARE WPS - AITKIN CLI
Minnesota MEDICAID 1659349934 MEDICARE WPS - AITKIN CLI
Minnesota Other 500001764 MEDICARE WPS - AITKIN CLI
Minnesota MEDICAID 632607200 MEDICARE WPS - AITKIN CLI
Minnesota Other 500003868 MEDICARE WPS - AITKIN CLI

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