Individual
MARY FRANCES LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4709
MN
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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