Larson, Shelly Lynn

Larson, Shelly Lynn is an individual health care provider with primary practice located at 4480 Centerville Rd , Saint Paul MN 55127-3674. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Larson, Shelly Lynn can be contacted via phone (651) 484-2724.

Contact Information

Primary practice address
4480 Centerville Rd Saint Paul MN 55127-3674
Phone: (651) 484-2724
Fax: (651) 484-2723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9815 Minnesota

Profile Details

NPI number 1982690145
LBN Legal business name Larson, Shelly Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated May 14th, 2012 - 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.

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