Larson, Kerri M

Larson, Kerri M is an individual health care provider with primary practice located at 716 E Manitoba Ave , Ellensburg WA 98926-3842. 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, Kerri M can be contacted via phone (509) 925-3151.

Contact Information

Primary practice address
716 E Manitoba Ave Ellensburg WA 98926-3842
Phone: (509) 925-3151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30004453 Washington

Profile Details

NPI number 1093774937
LBN Legal business name Larson, Kerri M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1093774937 NPPES
Washington MEDICAID 7831308

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