Larson, Shelagh Brown
Larson, Shelagh Brown is an individual health care provider with primary practice located at 855 Montgomery St Dept Of Ob/Gyn, Fort Worth TX 76107-2553. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Larson, Shelagh Brown can be contacted via phone (817) 927-1065.Contact Information
Primary practice address
855 Montgomery St Dept Of Ob/Gyn
Fort Worth TX 76107-2553
Phone: (817) 927-1065
Fax: (817) 927-1162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 537106 | Texas |
Profile Details
| NPI number | 1215077219 |
|---|---|
| LBN Legal business name | Larson, Shelagh Brown |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Feb 7th, 2013 - about 12 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 | 1215077219 | NPPES |
| Texas | MEDICAID | 185877101 | |
| Texas | Other | P01110876 | |
| Texas | Other | 8Y1549 |
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