Individual
ANNA RUTH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1400
(612) 672-2450
Mailing address
1400 MAYFLOWER DR, NORTHFIELD, MN 55057-3430
(612) 708-8058
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8662
MN
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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