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Individual

ALISON M LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
235400
AZ
367500000X
Certified Registered Nurse Anesthetist
R1524190
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286625000
MN
01
513L7LA
BCBS MN
MN
Enumeration date
12/27/2006
Last updated
08/03/2021
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