Individual
MRS. JEANNE MARIE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
E6773 SPRING COULEE RIDGE RD, WESTBY, WI 54667-7117
(608) 634-3010
Mailing address
E6773 SPRING COULEE RIDGE RD, WESTBY, WI 54667-7117
(608) 634-3010
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35016800
—
WI
Enumeration date
02/20/2007
Last updated
07/09/2007
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