Individual
ALYSON LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
580 E OLD LINDEN RD, SHOW LOW, AZ 85901-4817
(928) 985-1495
Mailing address
PO BOX 2018, LAKESIDE, AZ 85929-2018
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
248024
AZ
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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