Individual
MRS. NICOLE YVONNE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, CNM
Contact information
Practice address
9613 SANDIFUR PKWY STE A, PASCO, WA 99301-8028
(509) 943-8839
(509) 943-8851
Mailing address
9613 SANDIFUR PKWY STE A, PASCO, WA 99301-8028
(509) 943-8839
(509) 943-8851
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN61288984
WA
176B00000X
Midwife
Primary
AP61315151
WA
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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