Individual
NANCY H LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
997 GLEN COVE AVE, GLEN HEAD, NY 11545-1593
(516) 674-9144
Mailing address
160 EAKINS RD, MANHASSET, NY 11030-2636
(516) 365-9665
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306240-1
NY
Other
Enumeration date
12/08/2012
Last updated
12/08/2012
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