Individual
NICOLE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-8000
Mailing address
1816 W THOMAS CIR APT 2, BRANDON, SD 57005-3037
(605) 660-2915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000758
SD
Other
Enumeration date
08/25/2011
Last updated
11/02/2020
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