Individual
MRS. DIANNE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1895 KINGSLEY AVE, SUITE 903, ORANGE PARK, FL 32073-4466
(904) 644-8383
(904) 644-8289
Mailing address
3839 COUNTY ROAD 218, MIDDLEBURG, FL 32068-5708
(904) 282-6331
(904) 282-4117
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
ARNP
FL
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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