Individual
ANDREA B. LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1400 37TH AVE. SW, MINOT, ND 58701-3956
(701) 852-6565
(701) 838-9381
Mailing address
1400 37TH AVE. SW, MINOT, ND 58701-3956
(701) 852-6565
(701) 838-9381
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
663
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55188
—
ND
Enumeration date
06/28/2006
Last updated
08/25/2010
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