Individual
TRACY L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
314 OHMER ST, BOTTINEAU, ND 58318-1059
(701) 228-9400
(701) 228-9398
Mailing address
314 OHMER ST, BOTTINEAU, ND 58318-1059
(701) 228-9400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R32045
ND
Other
Enumeration date
07/25/2013
Last updated
10/23/2020
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