Larson, Nancy Jean

Larson, Nancy Jean is an sole proprietor health care provider with primary practice located at 19450 Black Rd , Los Gatos CA 95033-9598. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Larson, Nancy Jean can be contacted via phone (408) 354-3525.

Contact Information

Primary practice address
19450 Black Rd Los Gatos CA 95033-9598
Phone: (408) 354-3525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 578844 California

Profile Details

NPI number 1578997227
LBN Legal business name Larson, Nancy Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2013
Last updated Aug 29th, 2013 - about 11 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 1578997227 NPPES
California MEDICAID 3

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