Individual
COURTNEY C LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, FNP-C
Contact information
Practice address
4855 WINDWARD PKWY STE 200, MILTON, GA 30004-8609
(770) 840-5502
Mailing address
4505 ATWOOD DR, CUMMING, GA 30040-3068
(770) 823-2937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN202447
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN202447
GA
Other
Enumeration date
02/12/2013
Last updated
11/21/2024
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