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Individual
JANET A LARSON
Active
Individual
JANET A LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYNP, PHD, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R133861-6
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R133861-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659349934
—
MN
01
—
500001764
MEDICARE WPS - MCGREGOR
MN
01
—
500001766
MEDICARE WPS - AITKIN CLI
MN
01
—
500001767
MEDICARE WPS - HOSPITAL
MN
01
—
500003868
MEDICARE WPS
MN
05
—
632607200
—
MN
Enumeration date
03/10/2006
Last updated
09/17/2019
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