Individual
ANNE MARIE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
2021036797
MO
176B00000X
Midwife
Primary
NUR-APRN-LIC-158682
MT
Other
Enumeration date
05/13/2020
Last updated
11/22/2024
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