Individual
MRS. KERRI M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 925-3151
Mailing address
716 E MANITOBA AVE, ELLENSBURG, WA 98926-3842
(509) 925-3151
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30004453
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7831308
—
WA
Enumeration date
03/20/2006
Last updated
07/08/2007
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