Individual
ELIZABETH LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305-7101
(866) 849-0692
Mailing address
3015 E AMBER RIDGE WAY, PHOENIX, AZ 85048-7741
(480) 381-9575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN200398
AZ
363L00000X
Nurse Practitioner
10059261
OR
363L00000X
Nurse Practitioner
89121
NM
363LA2100X
Acute Care Nurse Practitioner
275445
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
275445
AZ
363LG0600X
Gerontology Nurse Practitioner
58701
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/05/2021
Last updated
05/13/2026
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