Individual
DOUGLAS SCOTT LARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
892 W S BOULDER RD, LOUISVILLE, CO 80027-2453
(303) 666-7717
Mailing address
892 W S BOULDER RD, LOUISVILLE, CO 80027-2453
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
APN.0992720-NP
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
APN.0992720-NP
CO
363L00000X
Nurse Practitioner
Primary
95013876
CA
363L00000X
Nurse Practitioner
APN.0992720-NP
CO
363LA2200X
Adult Health Nurse Practitioner
APN0000010682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H-117510
STATE LICENSE
IA
Enumeration date
09/12/2005
Last updated
03/12/2024
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