Individual
MARIYA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4439 STATE ROUTE 159 STE 260, CHILLICOTHE, OH 45601-7502
(740) 779-4370
Mailing address
4439 STATE ROUTE 159 STE 260, CHILLICOTHE, OH 45601-7502
(740) 779-4370
(740) 779-4439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0028587
OH
Other
Enumeration date
03/25/2021
Last updated
04/09/2021
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