Individual
MEGAN NOELLE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST # E4300, MINNEAPOLIS, MN 55407-3799
(612) 863-3110
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221875-1
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
7571
MN
363LG0600X
Gerontology Nurse Practitioner
7571
MN
Other
Enumeration date
06/02/2019
Last updated
02/08/2023
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