Individual
ANGELA L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
111 HUNDERTMARK RD STE 440, CHASKA, MN 55318-1460
(952) 856-4033
(952) 856-4034
Mailing address
500 S MAPLE ST, ATTN: MEDICAL STAFF OFFICE, WACONIA, MN 55387
(952) 442-2191
(952) 442-8055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R149045-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983177100
—
MN
Enumeration date
10/26/2006
Last updated
01/31/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us