Individual
NINA LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 RIVER DR, FORT BRAGG, CA 95437-5403
(707) 961-1234
Mailing address
700 RIVER DR, FORT BRAGG, CA 95437-5403
(707) 961-1234
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95064465
CA
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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