Individual
JENNIFER L. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3034 FISH HATCHERY RD, FITCHBURG, WI 53713-3125
(608) 270-5656
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5145
WI
Other
Enumeration date
07/11/2012
Last updated
12/30/2020
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