Individual
BROOKE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
526 29 1/2 RD, GRAND JUNCTION, CO 81504-5383
(970) 200-1600
Mailing address
526 29 1/2 RD, GRAND JUNCTION, CO 81504-5383
(970) 200-1600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
119094
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN.0100899-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000142
COLORADO
CO
01
—
119094
AZ STATE RN LICENSE
AZ
01
—
126668
MONTANA LICENSE
MT
Enumeration date
03/07/2017
Last updated
03/11/2026
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