Larson, Rebecca Ann

Larson, Rebecca Ann is an individual health care provider with primary practice located at 440 Woodward Ave , Iron Mountain MI 49801-4631. 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, Rebecca Ann can be contacted via phone (906) 776-9040.

Contact Information

Primary practice address
440 Woodward Ave Iron Mountain MI 49801-4631
Fax: (906) 774-7279
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704208185 Michigan

Profile Details

NPI number 1720195167
LBN Legal business name Larson, Rebecca Ann
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Oct 10th, 2023 - about 2 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 1720195167 NPPES
Michigan MEDICAID 4446672

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