Individual
KATIE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7235 W APPLETON AVE, MILWAUKEE, WI 53216-1932
(414) 455-3738
Mailing address
7235 W APPLETON AVE, MILWAUKEE, WI 53216-1932
(414) 455-3738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3532-33
WI
Other
Enumeration date
01/17/2009
Last updated
03/19/2012
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