Individual
JEANANNE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10203 E MCDOWELL MOUNTAIN RANCH RD, SCOTTSDALE, AZ 85255-8600
(480) 484-1711
Mailing address
5100 N MILLER RD, 4, SCOTTSDALE, AZ 85250-7735
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN074924
AZ
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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