Individual
JOANNA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6655 TRAVIS ST STE 400, HOUSTON, TX 77030-1343
(713) 500-8370
Mailing address
6655 TRAVIS ST STE 400, HOUSTON, TX 77030-1343
(713) 500-8370
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP140730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP140730
TEXAS BOARD OF NURSING
TX
Enumeration date
10/18/2019
Last updated
10/18/2019
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