Individual
CONOR JOHN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, RN
Contact information
Practice address
293 WASHINGTON ST, NORWELL, MA 02061-1781
(617) 588-0102
Mailing address
33 PRINCESS RD, WEST NEWTON, MA 02465-1636
(617) 874-6561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2337836
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2337836
MA
Other
Enumeration date
08/25/2021
Last updated
01/27/2023
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